患者女性,40岁,农民。因腰痛,恶心5天,伴心慌、头晕,视物模糊1天于1987年7月4日入院。体查:体温38.3℃,脉搏扪不清,呼吸急促,血压为 O,四肢冰冷,口唇发绀。胸背、腹部皮肤可见大量出血点和出血瘀斑。球结膜充血,水肿。心肺(一)。双肾区叩击痛。化验:血红蛋白14g,白细胞24,600/mm~3,中性54%,淋巴43%,异型淋巴细胞3%。血小板1.5万/mm~3。尿黄,混浊,尿蛋白(?),尿红细胞少许。入院诊断为流行性出血热——发热期与低血压期重叠。入院后立即行保温,上氧、扩容,纠酸抗休克治疗,但血压一直未回升至正常,且外渗加重,最后死于顽固性休克。患者男性,7岁,为上述患者之子。因发热,腰痛4天和其母同时入院。检查:体温 Female patient, 40 years old, farmer. Due to back pain, nausea for 5 days, with palpitation, dizziness, blurred vision 1 day in July 4, 1987 admission. Physical examination: body temperature 38.3 ℃, pulse palpable, shortness of breath, blood pressure O, limbs cold, lips cyanosis. Chest and back, abdomen skin showed a large number of bleeding and bleeding ecchymosis. Bulbar conjunctival congestion, edema. Heart and lung (a). Kidney area percussion pain. Laboratory tests: hemoglobin 14g, white blood cells 24,600 / mm ~ 3, 54% neutral, lymph 43%, atypical lymphocytes 3%. Platelets 15,000 / mm ~ 3. Urinary yellow, turbid, urine protein (?), Urinary red blood cells a little. Admission is diagnosed as epidemic hemorrhagic fever - overlap of the fever period and hypotension period. Insulation immediately after admission, oxygen, expansion, correcting acid anti-shock treatment, but blood pressure has not returned to normal, and exacerbations, and finally died of intractable shock. Male patient, 7 years old, is the son of the above patient. Due to fever, low back pain 4 days and their mother also admitted to hospital. Check: body temperature