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患者,女,27岁,主因吐泻4天,皮肤黄疸2天,于1978年3月18日入院。患者3年来患精神分裂症,用“吐”法治疗,于3月15日17时左右,服硫酸铜13.5克,服后即反复呕吐,共达4,000毫升左右,最后吐物中带少量血丝。腹泻10余次,水样便。17日眼球发黄逐渐加深,波及全身。尿少,每日约200毫升,呈棕褐色。查体:体温36.5℃,脉搏86,呼吸20,血压140/80,营养中等,表情淡漠,查体不合作。巩膜及皮肤明显黄疽,眼窝凹陷。唇干。右肺下部可闻少许乾性罗音。心界不大,心尖
Patient, female, 27 years old, mainly due to vomiting and diarrhea 4 days, skin jaundice 2 days, on March 18, 1978 admission. Patients with schizophrenia over the past three years, with “vomiting” treatment, at 15 o’clock on the March 15, serving copper sulfate 13.5 grams, vomiting after serving a total of 4,000 ml, the last spit with a small amount of bloodshot. Diarrhea more than 10 times, watery stools. On the 17th yellow eyes gradually deepened, affecting the whole body. Urine less, about 200 ml daily, was tan. Physical examination: body temperature 36.5 ℃, pulse 86, breathing 20, blood pressure 140/80, moderate nutrition, apathy, physical examination is not cooperation. Scleral and skin manifest jaundice, sunken eyes. Dry lips. Lower right lung can smell a little dry rales. Insignificant, apical