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主任医师:患者以“贫血原因待查”转入内科。目前仍有咳嗽、咯血,进行性贫血,并有严重的肾实质损害。请住院医师报告病历。住院医师:患者,男,20岁。因咳嗽、咳痰伴发热2个月,咯血1天于1984年12月20日入院。于1984年10月底因受凉后出现头痛、流清涕伴畏寒、发热,体温达38.9℃,经本厂卫生室诊断为“上感”,治疗3天后痊愈。约一周后始咳嗽、咳痰,有时痰中带血丝,伴不规则发热、头痛、头晕、乏力、纳差、盗汗。11月11日首次来
Chief Physician: Patients with “anemia to be investigated” into internal medicine. There are still coughs, hemoptysis, anemia, and severe renal parenchymal damage. Please residency report medical records. Resident: Patient, male, 20 years old. Due to cough, sputum with fever 2 months, 1 day of hemoptysis admitted on December 20, 1984. At the end of October 1984 due to headache after the cold, clear tears with chills, fever, body temperature of 38.9 ℃, the clinic diagnosed by the factory as “flu”, cured after 3 days of treatment. About a week after the first cough, expectoration, and sometimes bloody sputum sputum, with irregular fever, headache, dizziness, fatigue, anorexia, night sweats. November 11 for the first time