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患者女性,60岁,以寒战、高热伴腰痛,小便烧灼感3周,于1982,10,29入院。既往有慢性支气管炎病史,吸烟30余年,月经史15 7/15 38,无孕产史,1975年曾做过子宫肌瘤切除术。体查:体温38.3℃,呼吸24次/分,脉搏84次/分,血压110/60,发育正常,营养中等,面色灰黑,皮肤、粘膜有色素沉着,表情淡漠,神志清楚,全身表浅淋巴结未触及,头颅五官无畸形,双肺叩诊清音,呼吸音清晰,心界不扩大,心律整齐,心音有力,A_2>P_2,各瓣膜区未闻及杂音。腹平软,肝脾未触及,下腹正中有—5cm长的切口疤痕,上有色素沉着,无压痛,肠鸣音存在,左季肋部有叩击痛,下肢无水肿,神经系统检查正常。
Female patient, 60 years old, with chills, fever with low back pain, burning sensation in urine for 3 weeks, admitted to hospital on January 10, 1982. Past history of chronic bronchitis, smoking more than 30 years, history of menstruation 15 7/15 38, no history of pregnancy, in 1975 had done myomectomy. Physical examination: body temperature 38.3 ℃, breathing 24 beats / min, pulse 84 beats / min, blood pressure 110/60, normal development, moderate nutrition, looking dark gray, skin, mucosa with pigmentation, apathy, conscious, superficial Lymph nodes did not touch, no facial deformity of the skull, percussion clear voice of the lungs, clear breath sounds, heart does not expand, heart rhythm, powerful heart sounds, A_2> P_2, the valve area did not smell and noise. Abdominal soft, liver and spleen not touched, the middle of the abdomen -5cm long incision scars, pigmentation, no tenderness, bowel sounds exist, the peristalsis perry percussion pain, lower extremity edema, normal nervous system examination.