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患者女性,30岁,因发热3天,无尿,巩膜皮肤黄染,咯血、呕血、便血、皮下出血2天于1984年9月21日入院。体检:体温36.5℃,血压130/90 mmHg,脉搏70次/分,精神委靡,巩膜及全身皮肤明显黄染,胸背部皮肤散在大小不等淤血斑,心肺正常。肝于右锁骨中线肋缘下2.0cm,剑下5.0cm 处可触及,触痛较著,脾未触及。实验室检查:血红素10.5g%,红细胞336万,白细胞16,500,杆状5%,分叶88%,淋巴细胞6%,单核细胞1%,血小板8万。尿蛋白“++”,红细胞2~4,白细胞4~6,尿三胆“+”。胆红质3.0mg%,黄疸指数30单位,凡登白直接反应弱阳性,间接反应阳性,碘反应“±”,硫酸锌
Female patient, 30 years old, 3 days due to fever, anuria, scleral skin yellow dye, hemoptysis, hematemesis, hematochezia, subcutaneous bleeding 2 days in September 21, 1984 admission. Physical examination: body temperature 36.5 ℃, blood pressure 130/90 mmHg, pulse 70 beats / min, mental exhaustion, sclera and body skin was significantly yellow dye, chest and back skin scattered in varying sizes, congestion, normal heart and lung. Liver in the right clavicle under the midline rib margin 2.0cm, 5.0cm under the sword can be touched, tenderness, spleen not touched. Laboratory tests: heme 10.5g%, erythrocyte 3360000, white blood cells 16,500, rod 5%, leaf 88%, lymphocytes 6%, monocytes 1%, platelets 80,000. Urinary protein “++”, red blood cells 2 to 4, leukocytes 4 to 6, urinary San gall “+”. Bilirubin 3.0mg%, jaundice index 30 units, Vandenbai direct response was weakly positive, indirect reaction was positive, iodine reaction “±”, zinc sulfate