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患者男,67岁,退休工人。因持续性呃逆1周伴发热3日于1990年5月10日入院。1周前无明确诱因出现呃逆,每分钟6～15次,呈持续状态,入院前3日开始发热,体温38.6℃～39℃。无头痛、咳嗽、呕吐等症状。查体:T38.6℃,P90次/min,R20次/min,BP22/13kPa(170/100mmHg)发育正常,形体消瘦,神志清楚,皮肤、巩膜无黄染及出血点,表浅淋巴结未触及.头部器官无特殊。两侧瞳孔正圆等大,光反应灵敏。颈软,胸廓对称,呼吸运动减弱,右肺呼吸音粗,可闻及哮呜音。心脏无异常。腹软平坦,肝脾未触及。生理反射存在,病理反射未引出。实验室检查:Hb150g/L,WBC13.
Patient male, 67 years old, retired worker. Due to persistent hiccups 1 week with fever on the 3rd in 1990 May 10 admission. 1 week ago there is no clear incentive to hiccup, 6 to 15 times per minute, was sustained state, fever began on the 3rd before admission, body temperature 38.6 ℃ ~ 39 ℃. No headache, cough, vomiting and other symptoms. Examination: T38.6 ℃, P90 times / min, R20 times / min, BP22 / 13kPa (170 / 100mmHg) normal development, body weight loss, clear consciousness, skin, scleral no yellow dye and bleeding points, No special head tissue. Both sides of the pupil is large and so on, light reaction sensitive. Neck soft, symmetrical thorax, respiratory motion weakened, right lung breath sounds thick, can be heard and asthma aphonia. No abnormal heart. Abdomen soft flat, liver and spleen not touched. Physiological reflex exists, the pathological reflex did not lead. Laboratory tests: Hb150g / L, WBC13.