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例1,男,40岁。以发热头痛、恶心呕吐、腰痛5d,少尿 2d之主诉入院。既往体健,家族中无精神病史。查体:T36.3℃,BP测不出,神志清,面颈潮红,两腋下皮肤及软腭散在出血点,球结膜充血水肿,双肾区明显叩击痛。实验室检查:WBC37.73×10~9/L,NO.83,LO.26,PC79×10~9/L:尿有膜状物,蛋白(++++),红细胞(++++);HFRS-Ab(+)。诊断为流行性出血热休克期,给抗休克和少尿期治疗,8d后进入多尿期,尿量4360～5150ml,全身症状逐渐好转。15d后出现傻笑、发呆、喃喃自语、哭笑无常。问答基本切题,计算力尚可,定向力差,谈吐不流利。1周后症状加重,烦躁不
Example 1, male, 40 years old. Fever headache, nausea, vomiting, back pain 5d, oliguria 2d of the main complaint hospitalized. Past physical health, family history of no mental illness. Physical examination: T36.3 ℃, BP can not be measured, clear mind, face and neck flushing, the two armpit skin and soft palate scattered bleeding point, conjunctival congestion and edema, obvious percussion pain in the area of the kidneys. Laboratory tests: WBC37.73 × 10 ~ 9 / L, NO.83, LO.26, PC79 × 10 ~ 9 / L: urine membranous protein (++++), red blood cells ); HFRS-Ab (+). Diagnosis of epidemic hemorrhagic shock during shock, to anti-shock and oliguria treatment, after 8d into the polyuria, urine output 4360 ~ 5150ml, systemic symptoms gradually improved. After 15d giggle, trance, muttered, dumbfounding. Q & A basic topics, computing power is acceptable, poor orientation, non-fluent conversation. 1 week after the symptoms worsened, irritability not