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病历摘要患者,男,18岁,住院号79588。1979年10月12日暴饮、暴食一餐。第二天即觉全身疲倦,胃纳欠佳,左背肩胛下疼痛,活动受限,但仍能坚持劳动。10月16日除左背痛外,全身肌肉剧痛,寒战,高热。17日进一步加重,且恶心、呕吐多次,呕出物为食物残渣和黄色液体;腹泻2次,粪质稀带粘液,无脓血。曾到某医院诊治,验血:白细胞16200,肌注青、链霉索。患者自发病以来一直无咳、无痰,17日中午起病情恶化.呕吐频繁,神志不清,烦路躁妄,大便失禁而入院。
Patient summary, male, 18 years old, hospital number 79588. October 12, 1979 binge drinking binge eating meal. The next day I feel tired, poor appetite, left back subscapular pain, limited mobility, but still able to work. October 16 In addition to left back pain, muscle pain, chills, fever. Further aggravated on the 17th, and nausea, vomiting many times, vomit was food residue and yellow liquid; diarrhea 2 times, fecal dilute with mucus, no sesame blood. Have to a hospital for treatment, blood tests: WBC 16200, muscle injection of green, streptomycin cable. Since the onset of the patient has been no cough, no sputum, the disease began to worsen since noon on the 17th. Vomiting frequent, delirious, irritable, stool incontinence and admission.