普外病历（General medical records）.docVIP

普外病历（General medical records） 2. The general surgical record of medical records, for example, zhang suyu, female 58, married, in funing county, jiangsu province, han, sales and sales agent. On April 5, 1991, he was hospitalized on 5 April 1991. Since early march, the patient has a persistent distal pain in the right upper abdomen. And a half months after the yellowing sclera and skin, itching, bowel movements are clay color, no fever, at the same time with nausea, loss of appetite, eating from 150 g to 50 g, anaemic, angular, since the onset of lost weight 5 kg. In the local hospital, hepatitis was diagnosed and the treatment was invalid with Chinese medicine and symptomatic treatment, and the jaundice was aggravated, and the patient was admitted to the hospital with obstructive jaundice. The patient had no previous history of abdominal pain. No hepatitis, schistosomiasis history, no hematemesis and black history. Pingsu was healthy when he was 3 years old and had pneumonia with measles. He recovered 5 weeks. At 4 years old, he suffered from diphtheria and pharyngeal muscle paralysis, and recovered after the onset of illness. At the age of 9, he developed dysentery, abscess, and then recovered after taking Chinese medicine. Deny any other history of infection. She was inoculated from her youth. The year before last spring had been inoculated with three injections, and three times a year in May. Born in funing county, jiangsu province, has not been to the field, has no contact history of schistosomiasis, and has no habit of drinking and drinking. No history of raw meat. He has been working as a sales agent in county town for 30 years, with no toxicological or radioactive material contact history. To deny the history of hepatitis, tuberculosis and leprosy. Menstruation 16 3 ~ 5 48, already menopause 10 years. She was married in 1950 and had a daughter in 1959. The husband is alive. 28 ~ 30 father 80 years old, plain healthy, female 78 years old, have chronic cough. Br