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柴××,男,17岁,战士。于1979年3月7日15时10分以畏寒、发热、咳嗽、左胸痛伴无尿10余小时入院。当时体温37.5℃,脉搏140次/分,呼吸45次/分,血压66/50毫米汞柱,呼吸急促,皮肤湿冷发绀,心音低钝,心律齐,心率140次/分,左肺底部可闻及少量湿性罗音。查血白细胞26,300/mm~3,分类:中性70%,淋巴15%,异型淋巴14%,单核1%;血浆二氧化碳结合力42容积%。诊断为休克型肺炎。经抗炎、扩容、纠正酸中毒以及血管活性药物的应用等综合性抢救措施,3月8日晨8时,体温37.5℃,脉搏88次/分,血压90/60毫米汞柱,排尿2,500毫升,查血钾为3.35毫当量/升,继续上述抢救措施并补钾。
Chai × ×, male, 17 years old, warrior. At 15:10 on March 7, 1979 to chills, fever, cough, left chest pain with no urine more than 10 hours to hospital. At that time, body temperature 37.5 ℃, pulse 140 beats / min, breathing 45 beats / min, blood pressure 66/50 mmHg, shortness of breath, skin wet and cold cyanosis, low heart sound blunt, heart rate Qi, heart rate 140 beats / min, And a small amount of wet rales. Check blood leukocytes 26,300 / mm ~ 3, classification: 70% neutral, lymph 15%, atypical lymphoid 14%, mononuclear 1%; plasma CO2 binding capacity of 42% by volume. Diagnosis of shock pneumonia. Anti-inflammatory, expansion, to correct acidosis and vasoactive drugs and other comprehensive rescue measures, at 8:00 on March 8, body temperature 37.5 ℃, pulse 88 beats / min, blood pressure 90/60 mm Hg, urination 2,500 ml , Check the serum potassium 3.35 meq / l, continue the above rescue measures and potassium.