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例1 男,36岁,因发热、头痛、眼眶痛、腰痛3天,于1990-12-15入院。有与鼠间接接触史.体检:体温38.5℃,脉搏112次/分,血压13/8kPa。眼结膜充血,脸、颈、前胸皮肤潮红。球结膜水肿。咽部充血,口唇周围密布水疱疹.肾区叩击痛(+)。实验室检查:血常规:白细胞30.5×10~9/L,异淋5%,血小板70×10~9/L。尿常规:蛋白(++),红细胞稀布视野,蜡样管型3～5个,颗粒管型5～8个。BUN 20.8mmol/L。反向被动胶乳凝集试验1:100(+)。入院后经过发热期,少尿期治疗,
Example 1 Male, 36 years old, due to fever, headache, orbital pain, back pain for 3 days, admitted on December 12, 1990. A history of indirect contact with the rat Physical examination: body temperature 38.5 ℃, pulse 112 beats / min, blood pressure 13 / 8kPa. Conjunctival hyperemia, face, neck, chest skin flushing. Bulbar conjunctival edema. Throat congestion, watery herpes around the lips. Perineal area percussion pain (+). Laboratory tests: blood: white blood cells 30.5 × 10 ~ 9 / L, different leaching 5%, platelets 70 × 10 ~ 9 / L. Urine: protein (++), red blood cell stenosis, wax-like tube 3-5, particle tube 5-8. BUN 20.8 mmol / L. Reverse passive latex agglutination test 1: 100 (+). After admission, after fever, oliguria period of treatment,