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患者,男,35岁,因发热10天,腹泻3天于1989年7月29日入院。查体:T39.6℃,P100次/分,R22次/分。BP13/9kPa,急性高热病容,神清。胸及右上臂皮肤有散在淡红色丘疹,压之褪色,肝肋下1.5cm;剑下2.5cm,质中,神经系统正常。Hb100g/L,WBC5.6×10~9/L,N0.56,L0.44,EC0.05×10~9/L。大小便常规正常,胸腹透视无异常,B超示肝脾长大,拟诊:①上感;②败血症;③伤
The patient, male, 35 years old, was admitted to hospital on July 29, 1989 due to fever 10 days and diarrhea 3 days. Physical examination: T39.6 ℃, P100 beats / min, R22 beats / min. BP13 / 9kPa, acute high fever, Shen Qing. Chest and right upper arm skin scattered pink papules, pressure fade, liver ribs 1.5cm; sword 2.5cm, quality, the nervous system is normal. Hb100g / L, WBC5.6 × 10 ~ 9 / L, N0.56, L0.44, EC0.05 × 10 ~ 9 / L. Normal urine normal, chest and abdomen fluoroscopy without abnormalities, B-to show the liver and spleen grow up, proposed diagnosis: ① on the flu; ② sepsis; ③ injury