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男,15岁,农民,因发热、腹痛伴心跳8天,全身黄染4天于1983年7月15日被扶持入院。8天前从事夏收劳动后觉发热、上腹部隐痛、心跳、头晕、气促、活动时加剧,伴疲乏、纳呆、恶心。4天后解水样大便每天5～6次,全身黄染并逐日加深,心跳气促加剧而收入院。否认肝炎等病史,病前无进食蚕豆及服用氯霉素、磺胺药等。体查:体温38℃,脉搏120次,呼吸56次,血压100/60,神清,急性重病容,全身深度黄染,浅淋巴结无肿大,双眼结膜无充血,头颅五官端正,颈软,双肺呼吸音稍粗,未闻罗音。心律整,心尖区可闻SMⅡ级,腹软,肝脾触及不满意,全腹有压痛,以右上腹明显,肝区有叩击痫,肠鸣音稍亢进。腓肠肌无压痛,无病理神经反射。入院时实验室检查:血红蛋白3g,红细胞125万,白细胞32300,中性78％,淋巴20％,嗜酸2％;
Male, 15 years old, farmer, because of fever, abdominal pain with heartbeat 8 days, body yellow dye 4 days in July 15, 1983 was admitted to hospital. 8 days ago after summer harvest work fever, upper abdominal pain, heartbeat, dizziness, shortness of breath, increased activity, with fatigue, poor appetite, nausea. 4 days after the water-like stool 5 to 6 times a day, body yellow dye and deepening day by day, rapid heartbeat and income court. Denied the history of hepatitis and other diseases, before eating no eating beans and chloramphenicol, sulfa drugs. Physical examination: body temperature 38 ℃, pulse 120 times, breathing 56 times, blood pressure 100/60, Shen Qing, acute serious illness, systemic depth of yellow dye, superficial lymph nodes without swelling, conjunctival hyperemia, Breath sounds slightly thick lungs, did not hear Luo sound. Whole heart rhythm, apex area can be heard SM Ⅱ level, abdominal soft, not satisfied with the liver and spleen touch, the whole abdomen with tenderness, obvious right upper quadrant, the liver area tapping epilepsy, bowel sounds slightly hyperthyroidism. Gastrocnemius no tenderness, no pathological nerve reflex. Laboratory examination on admission: hemoglobin 3g, 1250000 erythrocytes, leukocytes 32300, 78% neutral, lymphatic 20%, 2% eosinophilic;