男,48岁。以发热、头痛、腰痛、眼眶痛5天入院。体检:体温37℃,急性病容,醉酒貌,双腋下及口腔粘膜、软腭均可见针尖大小出血点,面部对称,双侧球结膜充血,水肿。心肺正常,腹平软,脐周压痛,无反跳痛,双肾区叩击痛。化验:尿蛋白(+++),血小板95×10~9/L,白细胞3.08×10~9/L,中性80％,淋巴20％,红细胞4.1×10~(12)/L,血红蛋白125g/L,出血热免疫荧光抗 Male, 48 years old. To fever, headache, back pain, orbital pain 5 days admitted. Physical examination: body temperature 37 ℃, acute disease, drunk appearance, double underarm and oral mucosa, soft palate can be seen tip size bleeding, facial symmetry, bilateral bulbar conjunctival hyperemia, edema. Normal cardiopulmonary, abdominal soft, umbilical tenderness, no rebound pain, peritoneal area percussion pain. Urine protein (+++), platelets 95 × 10 ~ 9 / L, white blood cells 3.08 × 10 ~ 9 / L, neutral 80%, lymphatic 20%, erythrocyte 4.1 × 10-12 / L, hemoglobin 125g / L, hemorrhagic fever immunofluorescence anti-