患者女性 ,48岁 ,既往无肝炎病史 ,因发热腰痛 5天 ,尿少 1天入院 ,体格检查 :体温 37.6℃ ,脉搏 12 0次 /分 ,呼吸 19次 /分 ,血压 12 .5 / 8.2ｋＰａ ,发育正常 ,神志清楚 ,双侧腋下出血点明显 ,无瘀斑 ,无肝掌及蜘蛛痣 ,头颅五官无畸形 ,球结膜无充血、水肿Ⅰ度 ,巩膜黄染明 Patient Female, 48 years old, no previous history of hepatitis, fever back pain 5 days, less urine 1 day admission, physical examination: body temperature 37.6 ℃, pulse 120 beats / min, breathing 19 beats / min, blood pressure 12.5 / 8.2kPa , Normal development, conscious, obvious bleeding on both sides of the armpit, no ecchymosis, no liver palms and spider nevus, no deformity of the cranial features, conjunctival hyperemia, degree of edema, yellow sclera