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余××,男,25岁,因发热、头痛、腰痛5天,少尿3天而入院。入院检查:T、P、R正常,BP120/80mmHg。轻度酒醉貌,全身皮肤可见散在性出血点,呈抓痕样。眼球结膜轻度水肿,球结膜下有出血斑。心肺未见异常,腹平软,肝脾未触及,神经系统未见异常。血常规:白细胞15,000/mm~3;分类中性80％,淋巴20％,血小板计数3.2万/mm~3。尿常规:蛋白(+),红细胞(++),白细胞1～2。诊断:流行发生性热少尿期。入院后,经使用利尿合剂、速尿及控制液体量等处理,24小时尿量仍在440～500ml左右,并出现面部、眼脸水肿加重,血压上升到160/
I × ×, male, 25 years old, due to fever, headache, back pain 5 days, oliguria 3 days and admitted to hospital. Admission examination: T, P, R normal, BP120 / 80mmHg. Mild drunk appearance, scattered body visible bleeding spots, was scratched like. Eye conjunctiva mild edema, conjunctival bleeding spot. Heart and lung no abnormalities, abdominal soft, liver and spleen not touched, no abnormalities in the nervous system. Blood: WBC 15,000 / mm ~ 3; classification of 80% neutral, lymphatic 20%, platelet count 32000 / mm ~ 3. Urine: protein (+), red blood cells (++), white blood cells 1-2. Diagnosis: Epidemic hot oliguria period. After admission, the use of diuretic mixture, furosemide and control the amount of liquid and other treatment, 24-hour urine output is still 440 ~ 500ml or so, and the face, face and face edema, blood pressure rose to 160 /