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患者男性,54岁。主因发冷发烧、头痛、腰痛7天,于1985年5月7日入院。查体:体温38.5℃,脉搏98次,血压110/70mmHg。神志清楚,颈部及上胸部皮肤可见充血潮红,余无异常发现。化验检查:血常规正常。尿蛋白(+)、颗粒管型0～3/LP、透明管型0～2/LP、红细胞少许。BUN13mg%。经河北省防疫站测荧光抗体 IgG 1:160,诊为流行性出血热,予以对症治疗。于5月12日患者突然出现:面部表情肌瘫痪,前额
Male patient, 54 years old. Mainly because of fever, headache, back pain for 7 days, on May 7, 1985 admission. Physical examination: body temperature 38.5 ℃, pulse 98 times, blood pressure 110 / 70mmHg. Consciousness, visible congestion on the neck and upper chest skin flush, I found no abnormalities. Laboratory tests: normal blood. Urine protein (+), granular tube 0 ~ 3 / LP, transparent tube 0 ~ 2 / LP, a little red blood cells. BUN 13mg%. The anti-epidemic station in Hebei Province measured fluorescent antibody IgG 1: 160, diagnosed as epidemic hemorrhagic fever, symptomatic treatment. On May 12, the patient suddenly appeared: facial expression was paralyzed, forehead