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患者男,36岁,主因发热、头痛、腰痛4天入院。入院查体:BP13/8kPa,T39.5℃,P80次/分,R16次/分,神志清,颜面轻度水肿,上颚有数枚针尖大出血点,球结膜轻度水肿、充血,颈软,两肺呼吸音粗,心脏听诊无异常,腹软,肝脾未触及,双肾区叩击痛,四肢活动正常,神经系统查体无异常。入院诊断EHF(发热期)。实验室检查:血WBC11.2×10~9/L,N64％,L31％,异常淋巴细胞5％,血小板44×10~9/L,
Male patient, 36 years old, mainly due to fever, headache, back pain 4 days admission. Admission examination: BP13 / 8kPa, T39.5 ℃, P80 beats / min, R16 beats / min, conscious mind, face mild edema, the top of the jaw there are several pieces of bleeding, conjunctival mild edema, hyperemia, neck soft, Pulmonary tone sound crude, auscultation of the heart no abnormalities, abdominal soft, liver and spleen not touched, perineal area percussion pain, limbs normal, nervous system examination was normal. Admission diagnosis EHF (fever period). Laboratory tests: blood WBC11.2 × 10 ~ 9 / L, N64%, L31%, 5% of abnormal lymphocytes, platelets 44 × 10 ~ 9 / L,