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患者男,60岁,因发热、咳嗽、痰中带血伴下腹疼痛一周入院。病人近1月来常感乏力、咳嗽、咳痰著,大便稀溏,偶有脓血便。既往有结核病史。查体:体温37.6℃,脉搏:90次/分,呼吸:16次/分,血压:14/9 kPa,发育正常,营养差,心脏无异常。两肺呼吸音粗,两下肺可闻散在罗音。腹部平坦,触之柔韧,右下腹压痛(+),未触及明显包块,肠鸣音稍活跃。实验室检查:白细胞:10.0×10~9/L,中性粒细胞0.71,淋巴细胞0.29,血沉:68mm/h,便潜血(+)。X线胸片示两肺满布片絮状影及钙化
Male patient, 60 years old, due to fever, cough, bloody sputum with abdominal pain a week hospitalization. Patients often feel weak in the past month, cough, sputum with thin stool, occasionally purulent blood. Past history of tuberculosis. Physical examination: body temperature 37.6 ℃, pulse: 90 beats / min, breathing: 16 beats / min, blood pressure: 14/9 kPa, normal development, poor nutrition, no abnormal heart. Breath sounds rough two lungs, two lungs can be heard scattered in the rales. Abdomen flat, flexible touch, right lower quadrant tenderness (+), did not reach the obvious mass, bowel sounds slightly active. Laboratory tests: white blood cells: 10.0 × 10 ~ 9 / L, neutrophils 0.71, lymphocytes 0.29, erythrocyte sedimentation rate: 68mm / h, then occult blood (+). X-ray showed two lungs full of cloth flocculus and calcification