论文部分内容阅读
患者男,32岁。因畏寒发热、头痛、腰痛4天于1988年元月5日入院。体检:体温36.8℃,脉搏98次/分,呼吸24次/分,血压13.3/7.98kPa(100/60mmHg),急性病容,醉酒貌,双腋下及口腔粘膜、软腭均可见针尖大小淤血点,心肺正常,腹平软。上腹部、脐周压痛、无反跳痛。肝肋下1.5cm,质软、脾未及。双肾区压痛,叩痛明显。实验室检查:血红蛋白135g/L,白细胞3.08×10~9/L,中性82%,淋巴18%,血小板95×10~9/L。尿蛋白(++),血尿素
Male patient, 32 years old. Due to chills and fever, headache, back pain 4 days January 5, 1988 admission. Physical examination: body temperature 36.8 ℃, pulse 98 beats / min, breathing 24 beats / min, blood pressure 13.3 / 7.98kPa (100 / 60mmHg), acute disease, drunk appearance, double underarm and oral mucosa, Cardiopulmonary normal, abdominal soft. Upper abdomen, umbilical tenderness, no rebound tenderness. Liver ribs 1.5cm, soft, spleen and time. Kidney area tenderness, percussion pain significantly. Laboratory tests: hemoglobin 135g / L, white blood cells 3.08 × 10 ~ 9 / L, neutral 82%, lymphatic 18%, platelets 95 × 10 ~ 9 / L. Urinary protein (++), blood urea