论文部分内容阅读
从临床资料看,本例具有以下特点:(1)成年女性,于秋季发病。(2)发热5天入院,皮肤粘膜及肠道均有出血,蛋白尿、血尿等肾损害明显。综合起来看,具有出血热的三大症状。(3)呕吐、腹泻等消化道症状突出,大便呈酱油色。(4)神志恍惚,表情淡漠,双眼睑轻度浮肿。(5)满腹压痛、肝脏肿大、脾大可疑。(6)白细胞正常或减低,血小板减少。(7)大便检查有大量红白细胞。根据病人的情况,应考虑下列诊断。(一)急性肾炎患者年龄较大,浮肿不明显,无链球菌感染的病灶,无高血压,且在应用激素热退后休克,似不能以肾炎来解释。
From the clinical data, this case has the following characteristics: (1) adult women, onset in the fall. (2) 5 days fever admission, skin and mucous membranes and intestinal bleeding, proteinuria, hematuria and other renal damage significantly. Taken together, with the three symptoms of hemorrhagic fever. (3) vomiting, diarrhea and other gastrointestinal symptoms prominent, soy sauce was colored. (4) Conscious trance, expression indifference, mild eyelid edema. (5) full of tenderness, liver enlargement, spleen suspicious. (6) normal or reduced white blood cells, thrombocytopenia. (7) stool examination has a large number of red and white cells. Depending on the patient’s condition, the following diagnosis should be considered. (A) patients with acute nephritis older, edema is not obvious, streptococcal infection-free lesions, no high blood pressure, and in the application of hormone heat shock, it seems that can not be explained by nephritis.