患者女,47岁,因呕吐、腹痛、腹泻、呼吸困难2h于2005年8月16日就诊。患者入院前4h食用未煮熟且放置近24h的四季豆,2h后出现恶心、呕吐,持续性上腹痛、腹泻,伴腰痛、全身酸痛、呼吸困难,无发热。既往患糖尿病6年、高血压病7年,无贫血及肾病史。查体:BP130/80m m H g,烦躁,口唇及 Female patient, 47 years old, vomit, abdominal pain, diarrhea, dyspnea 2h on August 16, 2005. 4h before admission, consumption of uncooked kidney beans placed nearly 24h, 2h after nausea, vomiting, persistent upper abdominal pain, diarrhea, with low back pain, body aches, breathing difficulties, no fever. Past history of diabetes 6 years, 7 years of hypertension, no history of anemia and kidney disease. Physical examination: BP130 / 80m Hg, irritability, lips and