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患儿男,12岁。因发热、头痛、腰痛、恶心呕吐5d,于1993年12月2日入院。既往无心脏病及高血压病史。入院体检:T37.2℃,P80次/min,Bp14.0/9.0kPa。双腋下及颈部见3处针尖状出血点,球结膜水肿。颈软,颈静脉无充盈,心肺正常。肝肋下未及,剑突下2cm,肝区无叩痛,双肾区叩痛(++)。下肢无浮肿。 实验室检查:Hb 160g/L,WBC 17.0×10~0/L,N 0.80,L 0.12,异常淋巴细胞0.08,PC 50×10~9/L。尿常规蛋白+++,白细胞0～2HP,红细胞+++/HP。血尿素氮13.0mmol/L,EHF—IgM(+),肝功能正常,HB-sAg(-)。
Children male, 12 years old. Due to fever, headache, back pain, nausea and vomiting 5d, on December 2, 1993 admission. No previous history of heart disease and hypertension. Admission medical examination: T37.2 ℃, P80 times / min, Bp14.0/9.0kPa. Double axillary and neck see 3 needle-like bleeding, conjunctival edema. Neck soft, jugular vein filling, normal heart and lung. Liver under the ribs and under the xiphoid 2cm, no percussion pain in the liver, kidney area percussion (++). Lower extremity without edema. Laboratory tests: Hb 160g / L, WBC 17.0 × 10 ~ 0 / L, N 0.80, L 0.12, abnormal lymphocytes 0.08, PC 50 × 10 ~ 9 / L. Urine protein +++, white blood cells 0 ~ 2HP, red blood cells +++ / HP. Blood urea nitrogen 13.0mmol / L, EHF-IgM (+), normal liver function, HB-sAg (-).