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1病例资料患者女,68岁,2011年6月17日以“发热4 d”入院。高血压病史15年。目前口服卡托普利片,血压控制在130/80mmHg。糖尿病史8年。应用胰岛素控制血糖,血糖控制情况不详。4年前曾患脑血栓,未遗留后遗症。既往反复出现尿频、尿急、尿痛。患者4 d前无诱因发热,体温最高40℃,伴有寒战,恶心、呕吐,呕吐物为胃内容物,有尿频、尿急、尿痛。于
1 case data patient female, 68 years old, June 17, 2011 to “fever 4 d ” admission. Hypertensive history of 15 years. Currently oral captopril tablets, blood pressure control at 130 / 80mmHg. History of diabetes for 8 years. Application of insulin control of blood glucose, blood glucose control is unknown. 4 years ago suffered cerebral thrombosis, left unresolved sequelae. Past frequent urination, urgency, dysuria. 4 days before the patient had no incentive fever, body temperature up to 40 ℃, accompanied by chills, nausea, vomiting, vomit for the stomach contents, frequent urination, urgency, dysuria. in