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患者女,43岁,农民。因腹痛、发热、畏寒、全身酸痛乏力9天,加重1天,由乡卫生院转入本院治疗。查体:体温39.5℃,血压120/75mmHg消瘦,面色苍白,巩膜无黄染,腹部散在数个皮下出血点,腹稍胀,中上腹轻度压痛,肝右肋缘下约2cm,质中,触痛,脾未扪及。实验室检查:血红蛋白86g/L,红细胞2.85×10~(12)/L,白细胞1.92×10~9/L,中性0.72,血小板82×10~9/L;X线胸透未发现异常;B超示肝脏肿大,腹腔少量液
Patient female, 43 years old, farmer. Due to abdominal pain, fever, chills, and body aches and weakness for 9 days, an increase of 1 day was transferred from the township hospital to the hospital for treatment. Physical examination: body temperature 39.5 °C, blood pressure 120/75mmHg weight loss, pale, sclera without yellow stain, abdominal scattered in several subcutaneous bleeding points, abdominal bulge, mild tenderness in the upper abdomen, about 2cm below the right margin of the liver, in , Tenderness, spleen is not palpable. Laboratory tests: Hemoglobin 86g/L, red blood cells 2.85×10 12/L, white blood cells 1.92×10~9/L, neutral 0.72, platelets 82×10~9/L; X-ray chest X-ray findings were not abnormal; B ultrasound shows hepatomegaly, a small amount of fluid in the abdominal cavity