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患者男,36岁,因发热、头痛、腰痛7天,头晕、视力模糊1天入院。查体:T37.2℃,P98次/min,R24次/min,Bp10/6kPa。双腋下及软腭均见出血点,球结膜水肿,双肾区叩痛。WBC67.8×10~9/L,N0.42,L0.58,其中异淋0.14,血小板115×10~9/L,尿蛋白(卌),出血热荧光抗体阳性。诊断为流行性出血热。住院后第12天,病人全身浮肿,治疗后浮肿减轻。于住院第20天出院。出院时仍感腰痛。出院后10天复诊,腰痛逐渐加重,并出现双肩部痛、左下肢麻木。检体:T37℃,双上肢、左下肢脉搏和血压测不到,右下肢P78次/min,Bp30/17kPa,心尖部闻及Ⅲ/6SM,向左腋下传导,四肢肌力肌张力尚正常。WBC15.3×10~9/L,N0.78,L0.22,ASO<250U,RF(—),CRP(—),IgG20.72g/L。拟
Male patient, 36 years old, due to fever, headache, back pain for 7 days, dizziness, blurred vision 1 day admission. Physical examination: T37.2 ℃, P98 times / min, R24 times / min, Bp10 / 6kPa. Double armpits and soft palate see bleeding, conjunctival edema, renal area percussion pain. WBC 67.8 × 10 ~ 9 / L, N0.42, L0.58, among which 0.11 were leaching, 115 × 10 ~ 9 / L platelets, urinary protein (卌) Diagnosis of epidemic hemorrhagic fever. On the 12th day after hospitalization, the patient was swollen and edema was relieved after treatment. Discharged on day 20 of hospitalization. Still feel low back pain when discharged. Visits 10 days after discharge, back pain gradually increased, and appear shoulder pain, numbness in the left lower extremity. Samples: T37 ℃, both upper extremity, left lower extremity pulse and blood pressure can not be measured, the right lower extremity P78 times / min, Bp30 / 17kPa, apical smell and Ⅲ / 6SM, left axillary conduction, muscle tone muscle tone is normal . WBC15.3 × 10-9 / L, N0.78, L0.22, ASO <250U, RF (-), CRP (-) and IgG20.72g / L. Quasi