病例介绍患者男性,5个月,于1996年5月19日入院。患儿于1天前无明显诱因急骤起痛、发热(体温39℃以上)、频繁呕吐,呈喷射状,啼哭不止,门诊以暴发型流脑收入院。查体:T39℃,P128次/分,R26次/分,BP 测不出,意识不清,啼哭、颜面苍白、口唇发绀、上下肢及躯干部可见散在出血点及大片状瘀斑,双肺呼吸音清晰,未闻及干湿性罗音,心音纯,节律整,心率128次/分,各瓣膜听诊区无病理性 Case description Male patient, 5 months, was admitted to hospital on May 19, 1996. Children with no obvious reason 1 day ago, sudden onset of pain, fever (body temperature above 39 ℃), frequent vomiting, was jet-like, crying more than outbreaks outpatient outpatients to the hospital. Physical examination: T39 ℃, P128 beats / min, R26 beats / min, BP can not be measured, unconsciousness, crying, facial pale, lips cyanosis, upper and lower extremities and trunk visible scattered bleeding and large ecchymosis, double Lung breath sounds clear, unheard-of and wet and dry rales, pure heart sounds, rhythm, heart rate 128 beats / min, the valve auscultation area without pathology