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患者女性,19岁,农民,以发烧、发冷、头痛、腰痛、少尿4天之主诉于1984年11月24日入院。以往无癫痫及眼病史。查体:体温39℃,脉搏128次/分,呼吸28次/分,血压8/5.3kpa,神志清楚,颜面潮红,胸前皮肤可见散在淤点,球结膜明显充血、水肿,心肺未见异常,肝脾未触及,两肾区有叩痛,病理反射(-)。实验室检查:血红蛋白151g/L,白细胞16×10~9/L,中性78%,淋巴22%,血小板90×10~9/L。尿常规:蛋白(++),红细胞(+)。入院诊断:流行性出血热(发热、低血压、少尿三期重叠)。患者入院后经迅速补充血容量、纠正酸中毒、强心等治疗后,于次日体温降至正常,血压稳定于
Patient Female, 19 years old, farmer, admitted to hospital with a fever, chills, headache, back pain and oliguria for 4 days on November 24, 1984. No previous history of epilepsy and eye disease. Examination: body temperature 39 ℃, pulse 128 beats / min, breathing 28 beats / min, blood pressure 8 / 5.3kpa, conscious, facial flushing, scattered in the chest skin deposition point, bulbar conjunctiva obvious congestion, edema, heart and lung no abnormalities , Liver and spleen not touched, two kidney area have percussion pain, pathological reflex (-). Laboratory tests: hemoglobin 151g / L, white blood cells 16 × 10 ~ 9 / L, 78% neutral, lymph 22%, platelets 90 × 10 ~ 9 / L. Urine: protein (++), red blood cells (+). Admission diagnosis: epidemic hemorrhagic fever (fever, hypotension, oliguria three overlap). After admission to patients with rapid replacement of blood volume, to correct acidosis, cardiac therapy, the next day the body temperature dropped to normal, blood pressure stabilized at