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患者男,35岁,农民,因持续高热5天,伴腹泻。初为稀黄便,2日后呈酱黑色,混粘液,一日10多次。脐周阵痛、恶心、进食后呕吐、出汗,至当地医院诊治,疑似出血性肠炎,治疗未见效。病程第5日,呼吸急促、少尿,拟诊流行性出血热于1988年9月22日转来我院。体检:T39.8℃,P92次,R32次,Bp120/80,神清,精神萎糜,呼吸急促,面部轻度浮肿,巩膜无黄染,口腔粘膜见出血点,咽充血,颈软,两下肺闻
Male patient, 35 years old, farmer, due to sustained high fever for 5 days, with diarrhea. The beginning of thin yellow stool, was 2 days after the sauce was black, mixed mucus, more than 10 times a day. Umbilical pain, nausea, vomiting after eating, sweating, to the local hospital for treatment, suspected hemorrhagic colitis, the treatment did not work. Course of the first 5 days, shortness of breath, oliguria, Epidemiological epidemic to be diagnosed on September 22, 1988 transferred to our hospital. Physical examination: T39.8 ℃, P92 times, R32 times, Bp120 / 80, Shen Qing, spiritual wilt, shortness of breath, mild facial edema, scleral no yellow dye, oral mucosa bleeding, pharyngeal congestion, neck soft, Under the lung smell