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王××男59岁牧羊人汉族住院号(269981) 1984年4月20日住院。主诉:右眼睑红肿,溃烂,全身发热5天。现病史:5天前“感冒”后,双眼肿胀,发红,全身发热。3天后,右眼睑出现水泡,破溃,流水,累及整个眼睑,周围皮肤迅速肿胀,眼睑不能睁开。曾口服“土霉素”,症状未缓解。诊断为眼睑丹毒,住院治疗。检查:急性病容,意识清楚,检查合作。T:34℃,P:88次/分,呼吸平稳,血压:130/70mmHg。心肺正常。双眼睑及周围软组织弥漫性高度肿胀,界限不清,
Wang × × Male 59-year-old shepherd Han hospitalization (269981) April 20, 1984 hospitalization. Chief complaint: right eyelid inflamed, ulcerated, systemic fever 5 days. Current medical history: 5 days ago “cold”, eyes swollen, redness, systemic fever. Three days later, blisters on the right eyelid, ulceration, water, involving the entire eyelid, swollen skin quickly around the eyelids can not open. Oral “oxytetracycline”, the symptoms did not ease. Diagnosis of eyelid erysipelas, hospitalization. Check: acute disease, awareness, check cooperation. T: 34 ℃, P: 88 beats / min, stable breathing, blood pressure: 130 / 70mmHg. Cardiopulmonary normal. Double eyelid and soft tissue around the highly diffuse, ill-defined,