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病历摘要患者××,男,46岁,甘肃籍,军马场职工,1977年10月5日入内科,住院号142623。自1976年8月起出现疲乏,消瘦,食欲减退,并有短期尿频、尿急,尿呈浓茶色,经对症处理后尿系症状消失。其他症状仍存。至1977年3月上述消化道症状加重,检查肝功不正常,按“肝炎”治疗,但效果不明显。于1977年6月开始出现发热,体温持续在37~39℃之间,且伴有全身大关节痛,无红肿。化验检查:血红蛋白7.8克,血沉120毫米/小时,肝功:白蛋白2.0,球蛋白
Medical records Abstract patients × ×, male, 46 years old, Gansu Jiamu field staff, October 5, 1977 into the medical, hospital number 142,623. Since August 1976, fatigue, weight loss, loss of appetite, and short-term urinary frequency, urinary urgency, urine was dark brown, the symptomatic treatment of urinary symptoms disappeared. Other symptoms still exist. To March 1977 the above gastrointestinal symptoms worsened, check the liver function is not normal, according to “hepatitis ” treatment, but the effect is not obvious. In June 1977 began fever, body temperature continued between 37 ~ 39 ℃, and associated with body joint pain, no redness. Laboratory tests: 7.8 grams of hemoglobin, erythrocyte sedimentation rate 120 mm / hour, liver function: albumin 2.0, globulin