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临床病例: 廖××,男,25岁。1975年12月7日开始畏寒、发热、头痛、腰痛、乏力,次日曾用柴胡、氢化考的松治疗无效而来院。患者平素体健,无慢性病史。体检:神志清,体温40℃,脉搏110次/分,血压134/76毫米汞柱,面部潮红呈“酒醉貌”,眼结膜充血,轻度水肿,咽部充血,软腭可见数个出血点,皮肤两腋下可见散在出血点,右侧出血点密集呈“搔抓样”,颈软,心肺无异常,肝脾未触及,肾区无叩击痛,无脑膜刺激征,病理反射未引出。实验室检查:血红蛋白12.3克,白细胞7200,中性67%,淋巴32%,单核1%。尿蛋白微量。住院经过:入院后拟诊出血热,给予维生素乙、丙、路丁、鸭跖草、乳酸钠静滴。第四病日体温40℃,脉搏100次/分,皮肤出血点增多,结膜充血水肿明显,血红蛋白13.5克,白细胞21000,中性
Clinical cases: Liao × ×, male, 25 years old. December 7, 1975 began chills, fever, headache, back pain, fatigue, the next day had used Bupleurum, hydrocortisone treatment invalid from the hospital. Patients usually no health, no history of chronic disease. Physical examination: conscious mind, body temperature 40 ℃, pulse 110 beats / min, blood pressure 134/76 mm Hg, facial flushing was “drunken appearance” conjunctival hyperemia, mild edema, throat congestion, soft palate can be seen several bleeding points , The two armpits were scattered in the skin bleeding point, the right bleeding spots were intensive “scratching like”, neck soft, no abnormal heart and lung, liver and spleen not touched, no perineal pain in the kidney area, no meningeal irritation, pathological reflex did not lead . Laboratory tests: hemoglobin 12.3 grams, 7200 white blood cells, 67% neutral, lymphatic 32%, mononuclear 1%. Urine protein trace. Hospitalized after: hospitalized to be diagnosed with hemorrhagic fever, given vitamin B, C, Lu Ding, Commelina, sodium lactate intravenous infusion. The fourth day the body temperature 40 ℃, pulse 100 beats / min, skin bleeding increased, conjunctival congestion and edema, hemoglobin 13.5 grams, white blood cells 21000, neutral