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患者张×,男,52岁,农民。畏寒发热、头痛、腰痛、恶心,经当地医院按流行性出血热治疗5天后热退。因尿量减少,精神软弱,心前区痛(第6病日)转入本院。体检:T36.8℃,P50次/分,BP145/92mmHg。神清,精神软弱。眼睑轻度浮肿,结膜充血水肿并可见出血点。两侧腋下可见点状出血点,臀部可见片状瘀血斑。颈静脉无怒张。心尖搏动未见明显减弱,心界叩诊略大,心率50次/分,律齐,各瓣膜处未闻及病理性杂音,胸骨左缘第3、4肋间可闻
Patient Zhang ×, male, 52 years old, farmer. Chills fever, headache, back pain, nausea, by the local hospital by epidemic hemorrhagic fever treatment 5 days after the heat back. Due to decreased urine output, weakness, heart pain area (6th day) transferred to this hospital. Physical examination: T36.8 ℃, P50 beats / min, BP145 / 92mmHg. Clear, weak spirit. Eyelid mild edema, conjunctival congestion and edema and bleeding can be seen. Armpit visible on both sides of the spot bleeding, visible hip-shaped bleeding spots. Jugular vein without tension. Apex beating no obvious weakening, perinatal heart slightly larger, heart rate 50 beats / min, law Qi, the valve at the Department did not smell and pathological murmur, the sternal left intercostal intercostal hearing