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易某某,男,20岁。农民。住院号:0851。右胁胀痛伴恶寒发热22天,于1985年8月10日入院。证见右胁胀痛,发热,溲黄,4日未大便,舌质红、苔黄腻,脉弦数。查:体温38℃,右上腹稍隆起,肝下界于右锁骨中线肋下7厘米,质软,有压痛,无结节感。实验室检查:白细胞总数13,600/立方毫米,中性80%,淋巴20%;肝功能正常,超声波提示:肝上界于第6
Yi Moumou, male, 20 years old. Farmers. Hospital number: 0851. Right threatening pain with aversion to fever for 22 days was admitted on August 10, 1985. The evidence shows that right-threatening pain, fever, yellowish phlegm, no bowel movement on the 4th, red tongue, greasy yellow fur, and a few pulse strings. Check: body temperature 38 °C, the right upper abdomen slightly elevated, the lower liver in the right subclavian midline 7 cm under the ribs, soft, tender, no sense of nodules. Laboratory tests: total number of leukocytes 13,600/mm 3 , neutral 80%, lymph 20%; normal liver function, ultrasound tips: liver upper border in the 6th