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患者,男性,25岁,农民。因发热、少尿于1986年1月16日入院。5天前突然畏寒、发热、头痛、眼眶痛、全身酸痛不适。第3病日开始频繁恶心,胃部不适,大便呈黑色糊状。第4病日尿量减少,300～400ml/d,第5病日仅15ml/d,同时有牙龈出血及少量鼻衄。患者平时体健,家中鼠多。体检:T36.2℃,P72次,R20次,Bp128/78,急性病容,神萎,轻度酒醉貌。两眼睑浮肿,球结膜充血、水肿。上腭、右腋下及左胸部见多个散在出血点,上胸部皮肤潮红。心肺(一)。腹软,上腹部轻压痛,两肾区有叩
Patient, male, 25 years old, farmer. Due to fever, oliguria was admitted to hospital on January 16, 1986. 5 days ago suddenly chills, fever, headache, orbital pain, body aches and discomforts. Day 3 sickness began to frequent nausea, stomach upset, stool was black paste. Fourth day urine volume decreased 300 ~ 400ml / d, the first 5 days only 15ml / d, while bleeding gums and a small amount of epistaxis. Patients usually healthy, more rats at home. Physical examination: T36.2 ℃, P72 times, R20 times, Bp128 / 78, acute illness, Shen Wei, mild drunken appearance. Eyelid edema, conjunctival hyperemia, edema. On the palate, the right armpit and left chest to see a number of scattered bleeding point, the upper chest skin flushing. Heart and lung (a). Abdominal soft, light tenderness on the abdomen, two kidney area knocking