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患者男性,47岁,住院号127797。因畏寒、发烧、头痛。腰痛3 d于1984年8月25日凌晨1:20入院。病后无少尿。既往史无特殊。体查:T40℃,P80/min,R24/min,Bp110/60。神清。呈“酒醉貌”。双眼球结膜明显充血水肿。咽充血,软腭见散在出血点。心界不大,心律不齐,早搏1—3/min,未闻杂音。双肾区轻叩痛。余无异常。实验室检查:WBC6200,中性64%,淋巴24%,异淋12%。尿朊(++),镜检未见异常有形成分。血肌酐1.4mg%,尿素氮17.4mq%。血钾4.3mEq/L,钠134.5mEg/L,氯102mEq/L,钙3.9mEq/L。心电图示
Male patient, 47 years old, hospital ad 127797. Because of chills, fever, headache. Back pain 3 d on August 25, 1984 at 1:20 am admitted to hospital. No oliguria after the illness. No previous history. Physical examination: T40 ℃, P80 / min, R24 / min, Bp110 / 60. God clear. Was “drunk appearance.” Binocular conjunctiva obvious congestion and edema. Pharyngeal congestion, soft palate see scattered in the bleeding point. Little heart, arrhythmia, premature beat 1-3 / min, no noise. Kidney area tapping pain. I no exception. Laboratory tests: WBC6200, neutral 64%, lymph 24%, different leaching 12%. Urinary prion (++), microscopic examination showed no abnormal tangible ingredients. 1.4 mg% of serum creatinine, and 17.4 mq% of urea nitrogen. Potassium potassium 4.3 mEq / L, sodium 134.5 mEg / L, chlorine 102 mEq / L, calcium 3.9 mEq / L. ECG illustration