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患者 女性,25岁。因发热、腹痛、腹泻12天,排暗红色血便6小时,于1996年9月20日入院。于入院前12天开始发热,体温持续在38～39.5℃,乏力,食欲不振,腹痛,腹泻,日排稀水样便3～5次,无呕吐,无里急后重,伴牙龈出血,尿色呈桔红色,日尿量不足1000ml,入院前6小时排暗红色血便3次,总量约500ml。查体:T39℃,P110次/分,R24次/分,BP90/60mmHg(12/8kPa)。贫血貌,皮肤及巩膜中度黄染,咽充血,扁桃体Ⅱ度肿大,无脓苔,心、肺未闻异常,腹部平软,全腹均有轻度压痛,无肌紧张及反跳痛,肝右肋下2.5cm,剑突下4.0cm,质中等,触痛较明显,脾于肋下3.0cm,肠鸣音正常。实验室检查:
Patient female, 25 years old. Due to fever, abdominal pain, diarrhea 12 days, discharge of dark red bloody stool 6 hours on September 20, 1996 admission. 12 days before admission fever began, the body temperature continued at 38 ~ 39.5 ℃, fatigue, loss of appetite, abdominal pain, diarrhea, watery row on the day will be 3 to 5 times, no vomiting, no tenesmus, with gingival bleeding, urine was orange Red, urine volume less than 1000ml, 6 hours before admission row dark red bloody stool 3 times, the total about 500ml. Examination: T39 ℃, P110 beats / min, R24 beats / min, BP90 / 60mmHg (12 / 8kPa). Anemia appearance, skin and sclera moderate yellow dye, pharyngeal hyperemia, tonsil Ⅱ degree enlargement, no pus moss, heart, lungs are not abnormal, abdominal soft, all have mild abdominal tenderness, no muscle tension and rebound tenderness , Right hepatic ribs 2.5cm, xiphoid 4.0cm, medium quality, tenderness is more obvious, spleen in the ribs 3.0cm, bowel sounds normal. Laboratory examination: