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病历摘要患者,男,30岁,社员,因发热,伴全身肌痛,咯血四天于1970年7月31日入院。患者于四天前起畏寒、发热,觉剧烈头痛及全身肌痛,尤以双小腿痛最明显,至不能走路。并有咳嗽、咯血,无鼻塞、流涕。尿色较黄,无尿频、尿急。发病后极倦怠软弱,胃纳锐减,呕吐过数次。因高热不退、头痛及肌痛剧烈,遂于7月31日急诊入院。患者平素身体健康。于病前十天内每天参加割稻。体格检查:体温39.6℃,血压90/60毫米汞柱,
Patient, male, 30 years old, member, admitted to hospital on July 31, 1970 due to fever, myalgia, and hemoptysis for four days. Patients started chills, fever, severe headache and generalized muscular pain four days ago, especially in the case of double-calf pain, and was unable to walk. And cough, hemoptysis, no stuffy nose, runny nose. More yellow urine, no urinary frequency, urgency. Very tired after onset of weakness, appetite reduction, vomiting several times. Due to high fever, severe headache and muscle pain, then on July 31 emergency admission. Patients usually healthy. Participate in cutting rice every day for ten days before illness. Physical examination: body temperature 39.6 ℃, blood pressure 90/60 mm Hg,