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男,35岁,家民。因发热,头痛,腰痛10d,胸闷5d于1998年3月2日入院。患者体温最高达39.5℃,伴左下腹痛,恶心、呕吐,无咳嗽,咯痰。尿量1000～1500ml/d。门诊查血常规WBC13.4×10~9/L,N0.769,L0.231,Plt47×10~9/L。胸透示双侧少量胸腔积液。查体:T36.4℃,P60次/min,BP24/10kPa。神志清,面色潮红。除眼睑轻度水肿外,全身皮肤无水肿。全身未见出血点。球结膜轻度水肿,睑结膜充血。咽充血。双肺呼吸音低,未闻及罗音。HR60次/min,律整心音稍低,未及杂音。肝脾未及,双肾叩击痛(+),移动性浊音(-)。双下肢无水肿。生理反射正常存在,病理反射未引出。实
Male, 35 years old, people. Due to fever, headache, lumbago 10d, chest tightness 5d on March 2, 1998 admission. Patients with body temperature up to 39.5 ℃, with left lower abdominal pain, nausea, vomiting, no cough, expectoration. Urine output 1000 ~ 1500ml / d. Outpatient blood routine WBC13.4 × 10 ~ 9 / L, N0.769, L0.231, Plt47 × 10 ~ 9 / L. Chest radiograph showed a small amount of bilateral pleural effusion. Physical examination: T36.4 ℃, P60 times / min, BP24 / 10kPa. Conscious, flushed. In addition to eyelid mild edema, systemic edema. No bleeding in the whole body. Bulbar conjunctiva mild edema, conjunctival hyperemia. Pharyngeal congestion. Lungs breath sounds low, did not smell and rales. HR60 times / min, the whole law lower heart sound, no noise. Lack of liver and spleen, renal peristalsis (+), shifting dullness (-). No lower extremity edema. Physiological reflex normal existence, pathological reflex did not lead. real