论文部分内容阅读
患者男,32岁,因畏寒、发热、头痛、腰痛3天,伴气短1天入院。入院前3天突然畏寒、发热,体温达39℃以上,伴头痛、腰痛、全身酸痛、恶 心、腰胀。2天后出现气短,活动时明显。饮食、尿量可。既往体健。当时当地有流行性出血热流行。查体:T39.3℃,P100次/min,Bp13/9kPa。前胸部皮肤见多个针尖样出血点,呈搔抓样。面红,气管左移。右肺叩浊,呼吸音消失。心率100次/min,律齐,心音有力。肝脾不大,双肾区叩击痛
Male, 32 years old, due to chills, fever, headache, back pain for 3 days, with shortness of breath admitted to hospital for 1 day. 3 days before admission suddenly chills, fever, body temperature of 39 ℃ above, with headache, back pain, body aches, nausea, bloating. 2 days after the shortness of breath, activity obvious. Diet, urine output can be. Past physical health. There was epidemic of epidemic hemorrhagic fever at that time. Physical examination: T39.3 ℃, P100 times / min, Bp13 / 9kPa. See the front chest skin multiple tip-like bleeding point, was scratching like. Red face, trachea left. Pulmonary right knock knock, breath sounds disappear. Heart rate 100 beats / min, law Qi, powerful heart sounds. Small spleen and kidney area percussion pain