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患儿男、11岁、小学生。因发热伴头痛、腰痛6天于1991年1月2日入院。T39～39.5℃,咽痛,面颈部皮肤潮红,鼻涕混有血丝,腹痛,频繁恶心呕吐。第三日腰痛加重,尿量减少,约500ml,有膜状物。抗生素解热药治疗无效。第五日热骤退,腰痛仍剧烈。体检:T37℃,P64次、R25次、BP11/8kPa。精神萎蘼,面颈部皮肤潮红,左口角外缘0.5×1.5cm皮下瘀斑。球结膜充血水卵,咽充血,心肺肝脾正常,脐周压
Children male, 11 years old, primary school children. Fever due to fever with headache, back pain for 6 days in January 2, 1991 admission. T39 ~ 39.5 ℃, sore throat, face and neck skin flushing, nasal discharge mixed with bloodshot eyes, abdominal pain, frequent nausea and vomiting. The third day of lower back pain, decreased urine output, about 500ml, a membranous matter. Antibiotic antipyretic drug treatment is invalid. Hot on the fifth day of retreat, back pain is still intense. Physical examination: T37 ℃, P64 times, R25 times, BP11 / 8kPa. The spirit of wilting, face and neck skin flushing, left border angle 0.5 × 1.5cm subcutaneous ecchymosis. Conjunctival congestion of water eggs, pharyngeal congestion, normal heart and lung liver and spleen, umbilical pressure