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患者男性,39岁,1980年11月25日入院。6天前,畏寒发热伴眼眶痛及全身疼痛,体温40℃以上。3天前尿量开始减少,入院前24小时尿量为100毫升左右,伴鼻衄、血痰及黑便。以往无肾炎及心脏病史。体检:体温37.4℃,脉搏108次/分,呼吸26次/分,血压90/60毫米汞柱。精神萎糜,面部浮肿,酒醉貌,两侧腋下见抓痕样出血点,上腭粘膜见网状出血点,球结膜充血水肿,颈软,心率108次/分,律齐,心音略低,未闻及杂音,肺部(一),肝脾未触及,两侧肾区有叩击痛,未引出病理反射。实验室检查:白细胞13400/立方毫米,中性74%,淋巴24%,酸性2%,血小扳
Male patient, 39 years old, admitted to hospital on November 25, 1980. 6 days ago, chills fever with orbital pain and body aches, body temperature above 40 ℃. Urine began to decrease 3 days ago, 24 hours before admission, urine output of about 100 ml, with nose and throat, bloody sputum and black stools. No previous history of nephritis and heart disease. Physical examination: body temperature 37.4 ℃, pulse 108 beats / min, breathing 26 beats / min, blood pressure 90/60 mm Hg. Spirit wilt, facial edema, drunken appearance, see the armpit on both sides of the scratch-like bleeding point, the palate mucosa see reticular bleeding, conjunctival congestion and edema, neck soft, heart rate 108 beats / min, law Qi, Low, no smell and noise, the lungs (a), liver and spleen not touched, both sides of the percussion zone pain, did not lead to pathological reflex. Laboratory tests: white blood cells 13400 / cubic mm, 74% neutral, lymph 24%, acid 2%, blood pull