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患者,男,56岁。于1981年2月1日零时急诊入院。因畏寒发热3天,卫生所给予服扑热息痛0.5、每日3次,共3.5克后感头晕、心慌、大汗淋漓、恶心,继而小口吐出咖啡色液体,血压降至零,经急诊抢救6小时后血压回升至98/90mmHg,送入病房。患者发病前4天有上腹隐痛,解黄色稀便,一天2～3次,服黄连素、胃舒平后好转。既往曾患溃疡病、肝炎、肾结石、肾盂积水,并对青霉素及磺胺药物过敏。 体检:一般情况欠佳,神志清醒,面色苍白,皮肤多汗,灯光下无明显黄疸,浅表淋巴结不大,无血管痣。颈软,甲状腺不大,
Patient, male, 56 years old. At 0:00 on January 1, 1981 emergency admission. Due to chills and fever for 3 days, the clinic gave paracetamol 0.5, 3 times a day, a total of 3.5 grams flu, dizziness, palpitation, sweating, nausea, then vomit brown liquid, blood pressure dropped to zero, the emergency rescue 6 hours After the blood pressure rose to 98 / 90mmHg, into the ward. 4 days before onset of patients with abdominal pain, solution of yellow loose stools, 2 to 3 times a day, serving berberine, stomach Shuping improved. Previously had ulcer disease, hepatitis, kidney stones, hydronephrosis, and penicillin and sulfa drugs allergy. Physical examination: poor general condition, conscious, pale, sweating skin, no obvious jaundice in the light, superficial lymph nodes, vascular nevus. Neck soft, thyroid is not big,