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刘×,男,58岁,因消瘦,乏力,间歇性浮肿6月余,于1980年5月15日入院。入院前半年开始感乏力,上腹部痛,下肢浮肿,消瘦,在外诊断“萎缩性胃炎”,“低蛋白血症”,“肝硬化”等病,治疗无效,浮肿加重。体检:慢性病容,极度消瘦呈恶病质态,面色苍白,表情淡漠,无甲亢眼症。口腔粘膜多处溃疡。甲状腺Ⅱ°弥漫性肿大,质韧,无结节,有震颤,血管杂音明显,颈静脉怒张。心率72次,心尖区闻及收缩期Ⅱ
Liu ×, male, 58 years old, due to weight loss, fatigue, intermittent edema more than 6 months, was admitted to hospital on May 15, 1980. Half of the first hospital admission began to feel tired, upper abdominal pain, lower extremity edema, weight loss, diagnosis of “atrophic gastritis”, “hypoproteinemia”, “cirrhosis” and other diseases, treatment ineffective, edema worsened. Physical examination: Chronic disease, extreme weight loss was a cachexia, pale, apathy, no hyperthyroidism eye syndrome. Multiple oral mucosa ulcers. Diffuse thyroid enlargement Ⅱ °, quality and toughness, no nodules, tremor, obvious vascular murmur, jugular vein engorgement. Heart rate 72 times, apex area smell and systolic Ⅱ