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患者男,46岁,农民。因发热、头痛7天,腰痛5天,双下肢疼痛,无力,心慌1天,于1999年3月22日入院。发病以来无咳嗽、食欲不振,无恶心、呕吐。查体:体温37.8℃,脉搏105次/分,血压175/120mmHg(1mmHg＝0.133kPa),中年男性,发育营养中等,意识清,精神差,酒醉貌,胸背部未见出血点,咽部充血,心率105次/分,律齐,心音略低,腹部两侧轻压痛,双肾区叩痛,双下肢肌力0级,腱反射减弱,病理反射阴性。化验:EHF-IFA 1:20,肝功(—),血生化钾4.2mmol儿,CO_2—CP22mmol/L,BUN
Male patient, 46 years old, farmer. Due to fever, headache for 7 days, 5 days back pain, lower extremity pain, weakness, palpitation 1 day, on March 22, 1999 admission. Since the onset of cough, loss of appetite, no nausea, vomiting. Examination: body temperature 37.8 ℃, pulse 105 beats / min, blood pressure 175 / 120mmHg (1mmHg = 0.133kPa), middle-aged men, developmental nutrition, consciousness, poor spirit, drunken appearance, chest and back no bleeding point, pharynx Ministry of congestion, the heart rate of 105 beats / min, law Qi, heart sounds slightly lower, mild tenderness on both sides of the abdomen, kidney area percussion pain, double lower extremity muscle strength 0, tendon reflexes, pathological reflex negative. Laboratory: EHF-IFA 1:20, liver function (-), blood potassium 4.2mmol children, CO_2-CP22mmol / L, BUN