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流行性出血热是一个自然疫源性急性传染病,在我省尚未见报道。1980年11月我院收治一例,现报告如下: 患者男性,30岁,社员,病历号11198。患者于入院前五天因发烧、寒战及周身疼痛,体温39.9℃,尿少,(24小时300毫升),呈浓茶色,频繁呕吐,吐物为胃内容物,呈咖啡色,柏油样便,7~8次/日,量约100~200克。当地曾按“感冒”及“伤寒”治疗无效,于入院前一天晚上出现烦躁不安,全腹痛,无尿,血压80/60。故转入我院。患者既往健康。于发病前一个月在野外劳动,住人字形工棚内,与野鼠有频繁接触史。家属中无类似疾病。查体:体温36℃、脉搏84、血压100/70、呼吸22,呈醉酒貌,神志清,烦躁不安。皮肤潮红,以面、颈、前胸为著,前胸、后背、腋
Epidemic hemorrhagic fever is a natural epidemic of acute infectious diseases, has not been reported in our province. November 1980 admitted to a hospital in our hospital, the report is as follows: Male patient, 30 years old, members, medical record number 11198. Patients with fever, chills and whole body pain five days before admission, body temperature 39.9 ℃, oliguria, (24 hours 300 ml), was dark brown, frequent vomiting, spit things for the stomach, was brown, tarry stool, 8 times / day, the amount of about 100 to 200 grams. According to the local “cold” and “typhoid fever” treatment ineffective, one night before admission, irritability, full abdominal pain, anuria, blood pressure 80/60. It is transferred to our hospital. The patient’s past health. One month before the onset of work in the field, live herringbone shed, and wild rats have frequent contact history. No similar disease in family members. Physical examination: body temperature 36 ℃, pulse 84, blood pressure 100/70, breathing 22, was drunk appearance, consciousness, irritability. Skin flushing, with face, neck, chest for, chest, back, axillary