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病历摘要: 例一:患儿方×x,男性,2岁。因每日稀水便十余次伴腹痛,发烧十余天,腹胀二天,曾在院外应用过合霉素、氯霉素、庆大霉素、强的松等药,病情逐日加重,而于1975年6月11日急诊入院。体检:体温39℃,脉搏112次/分,营养差,脱水貌,神志清,心肺无异常,腹部隆起,腹壁静脉清晰可见,肝脾触诊不满意,肠鸣音消失。实验室检查:血红蛋白8克,白细胞8,400/立方毫米,中性粒细胞65％,淋巴细胞35％,血钾3.1毫当量/升,
Medical record summary: Example 1: Children × ×, male, 2 years old. Because of the daily water will be more than ten times with abdominal pain, fever more than ten days, abdominal distension two days, had applied outside the hospital cohocamycin, chloramphenicol, gentamicin, prednisone and other drugs, the condition increased day by day, and in June 11, 1975 emergency admission. Physical examination: body temperature 39 ℃, pulse 112 beats / min, poor nutrition, dehydration appearance, clear mind, no abnormal heart and lungs, abdominal bulge, abdominal veins clearly visible, liver and spleen palpation are not satisfied, bowel sounds disappear. Laboratory tests: 8 grams of hemoglobin, white blood cells 8,400 / cubic mm, 65% of neutrophils, lymphocytes 35%, potassium 3.1 3.1 eq / l,