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患者男性,65岁,农民。因于探亲途中忽腹泻呕吐,经“挑痧”未见好转,夜间腹泻加剧,呈水样便,色暗黄,共廿余次,同时腹痛恶心,并伴有呕吐六次,呕吐物为黄色苦水,于次晨7时急诊入院。既往健康,无特殊病史可供参考。检查:体温不升,血压脉搏均未能测及,呼吸16次/分。营养、发育尚好,意识轻度模糊,时而躁动不安。面色苍白,唇绀,四肢厥冷。皮肤干皱,弹性差,未见皮疹。全身浅表淋巴结不肿大。巩膜皮肤无黄染。眼球凹陷,舌被白苔,瞳孔对光反应及角膜反射迟钝。颈软,心音极微弱,两肺呼吸音粗糙。腹舟状,软,肝脾
Male patient, 65 years old, farmer. Due to the visit on the way suddenly diarrhea vomiting, the “pick 痧” did not improve, diarrhea intensified at night, was watery stools, color dark yellow, a total of more than 20 times, while abdominal pain and nausea, accompanied by vomiting six times, vomit yellow Bitter water, at 7 am emergency admission. Past health, no special history for reference. Check: body temperature does not rise, blood pressure and pulse were not measured, breathing 16 beats / min. Nutrition, development is still good, mildly blurred consciousness, sometimes restless. Pale, cyanosis, extremities Jueleng. Dry skin wrinkles, poor elasticity, no rash. Systemic superficial lymph nodes are not enlarged. Scleral skin without yellow dye. Depression of the eye, the tongue is white moss, pupil light reaction and corneal reflex slow. Neck soft, very weak heart sound, rough breathing sounds of both lungs. Abdominal boat shape, soft, liver and spleen