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男,20岁。1987年10月20日起病,畏寒、发热、多汗、肢困,1～2日内发作一次,每次持续3～4小时,一周后,上述症状逐渐加重,至恶寒、高热、大汗、全身乏力伴头晕。当地治疗无好转。因面色苍白,体力衰退,尿色浓茶样和排尿中断,于11月9日按溶血性贫血及发热待查入院。体查:体温38.8℃,脉搏80次,呼吸20次,血压110/64,神清,精神差,一般情况尚可。面色苍白,重度贫血貌,体位自如,合作。巩膜微黄染,皮肤无出血点(斑)。颈软。心律整,有Ⅰ级收缩期杂音。肺无异常。腹
Male, 20 years old. October 20, 1987 onset, chills, fever, sweating, limbs trapped, attack within 1 to 2 days, each lasting 3 to 4 hours, a week later, the symptoms gradually aggravate to aversion to chills, fever, large Khan, generalized weakness with dizziness. Local treatment did not improve. Due to pale, physical decline, dark urine tea-like and urinary disruption, on November 9 according to hemolytic anemia and fever to be admitted to hospital. Physical examination: body temperature 38.8 ℃, pulse 80 times, breathing 20 times, blood pressure 110/64, God clear, poor spirit, the general situation is acceptable. Pale, severe anemia appearance, comfortable posture, cooperation. Scleral micro-yellow dye, no bleeding spots (spots). Neck soft. Whole heart rhythm, Ⅰ grade systolic murmur. No abnormal lungs. belly