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男性,38岁,因发烧,腹痛,呕吐,血性水样腹泻三天,于1982年5月23日入院。入院前三天因劳累,未吃生冷食物,次日感脐周腹痛,呕吐,继之即感畏寒发烧,水样腹泻,22日高烧达41℃,并呕吐咖啡样胃内容物,当日并有多次血性水样便,在卫生所给予输液并静滴青霉素,庆大霉素未见好转而转来我院。既往体健,无腹痛,反酸,呕血及黑便史。亦无慢性腹痛,腹泻史。体格检查:T38.4℃,BP120/90mmHg,P100/分,急性病容,反应迟钝,皮肤未见
Male, 38 years old, admitted to hospital on May 23, 1982 due to fever, abdominal pain, vomiting and bloody watery diarrhea for three days. Three days before admission due to exertion, not eating cold food, the next day feeling umbilical abdominal pain, vomiting, followed by a sense of chills fever, watery diarrhea, high fever on the 22nd up to 41 ℃, and vomit coffee-like stomach contents, and There are several bloody watery stools, given infusion in the health clinic and intravenous penicillin, gentamicin did not turn to turn to our hospital. Past physical health, no abdominal pain, acid reflux, hematemesis and melena history. No chronic abdominal pain, diarrhea history. Physical examination: T38.4 ℃, BP120 / 90mmHg, P100 / min, acute disease, unresponsive, the skin has not seen