患者男、36岁,因头痛、腰酸痛,皮肤及巩膜发黄、酱油样尿、皮肤紫斑一月,高热神昏、左侧肢体发麻、活动不便、言语不清一周于1982年10月15日入院。查体:T39.4℃,血压120/80,神志朦胧,精神萎糜,贫血貌。巩膜、皮肤轻度黄染。胸部及两下肢可见紫斑及散在性出血点,压之不退色。瞳孔等大,颈软,颅神经检查无异常。心肺正常。肝助下2cm,质 Male, 36 years old, suffering from headache, back pain, yellowing of the skin and sclera, soy sauce-like urine, skin purpura January, fever fainting, tingling of the left limb, inconvenience of activities, slurred speech One week in October 1982 15 Day admission. Physical examination: T39.4 ℃, blood pressure 120/80, mind hazy, spiritual wilt, anemia appearance. Sclera, skin mild yellow dye. Chest and lower extremity visible purple spot and scattered bleeding point, the pressure does not fade. Pupil and other large, soft neck, cranial nerve examination without exception. Cardiopulmonary normal. Liver help 2cm, quality