患者男,11岁,学生。1986年3月26日开始畏寒、发热、头痛、阵发性咳嗽、恶心、频繁呕吐、上腹部剧烈疼痛、尿色深黄。3月29日出现高热、谵妄、抽搐、大小便失禁而急诊入院。平素身体健康。体检:体温39℃,脉搏164次,呼吸32次,血压80/0,深度昏迷,全身散在大小不等出血点,皮肤无破溃,全身表浅淋巴结未触及,巩膜轻度黄染,瞳孔左0.6cm,右0.4cm,对光反应迟钝,眼底未见异常,唇微发绀,颈软,两肺可闻及干、湿罗音,心律齐,心音低钝。腹软,肝右肋下1cm,质软。脾未及。浅 Patient male, 11 years old, student. March 26, 1986 began chills, fever, headache, paroxysmal cough, nausea, frequent vomiting, severe abdominal pain, deep yellow urine. March 29 fever, delirium, convulsions, incontinence and emergency admission. Normal physical health. Physical examination: body temperature 39 ℃, pulse 164 times, breathing 32 times, blood pressure 80/0, deep coma, the body scattered in the size of the bleeding point, the skin without ulceration, systemic superficial lymph nodes not touched, scleral mild yellow dye, left pupil 0.6cm, right 0.4cm, unresponsive to light, no abnormal retinal, lip micro cyanosis, soft neck, both lungs can be heard and dry and wet rales, rhythm Qi, low heart sound blunt. Abdomen soft, right rib 1cm, soft. Spleen not yet. shallow