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肖某某,男,27岁。修铁路民工。因畏寒、发热4天,浮肿、少尿、解黑便2天。于1992年7月15日入院。起病畏寒、高热头痛,咽痛,曾呕吐3次为胃内容物,眼睑浮肿、少尿、解黑大便。既往健康,一年来未到外地,但居住野外民工棚并从事野外作业。体检急性病容、面色及颈胸部皮肤潮红,眼睑轻度浮肿,眼结膜充血,双眼巩膜出血发红,以右眼巩膜明显,口腔粘膜、咽部软腭充血发红。全腹广泛轻压痛,无肌卫、无反跳痛。
Xiao Moumou, male, 27 years old. Rail repair workers. Because of chills, fever 4 days, edema, oliguria, black solution 2 days. On July 15, 1992 admitted. Chills, fever headache, sore throat, vomiting 3 times for the stomach contents, eyelid edema, oliguria, black stool. Past health, not to the field over the past year, but live in rural labor camp and engage in field operations. Physical examination of acute disease, facial and neck and chest skin flushing, eyelid mild edema, conjunctival hyperemia, binocular scleral hemorrhage, the right eye sclera obvious, oral mucosa, throat soft palate congestion redness. The whole abdomen extensive soft tenderness, no musculus, no rebound tenderness.