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例一:女,32岁,沙面某宾馆厨工,住荔湾区。1984年3月21日头痛,畏寒,发热达39.6℃,第2天胸面部充红。第3天下午体温不退,出现右下腹痛,为持续性钝痛,继而发展至全腹痛。伴有恶心、呕吐,为未消化胃内容物。尿色深黄,高热时有谵语,在当地诊所按“上感”治疗未效。第5天在某院住院,第6天诊为流行性出血热转我院。在原院未见有低血压,仅2天来少尿。入院时体温38.5℃,呼吸28次,脉搏80次,血压100/60,神志清醒,步行入院,急性病容,面部潮红,双上臂及双侧胸部、双腋下及肩胛背部可见散点状、条索状出血点。皮肤未见黄染,巩膜呈现轻度黄染,双侧球结合膜明显水肿,并充血,未见出血点。
Example 1: Female, 32 years old, Shamian a hotel chef, live in Liwan District. March 21, 1984 headache, chills, fever 39.6 ℃, the first two days of the chest filled with red. On the third day afternoon, the body temperature was not retreated, right lower quadrant abdominal pain appeared, persistent dull pain, then developed to the full abdominal pain. With nausea, vomiting, undigested stomach content. Urine, dark yellow, high fever when whispered, according to the local clinic “on the flu” treatment is not valid. The fifth day in a hospital, the first 6 days diagnosed as epidemic hemorrhagic fever in our hospital. No blood pressure in the original hospital, only 2 days to oliguria. On admission, body temperature 38.5 ℃, breathing 28 times, pulse 80 times, blood pressure 100/60, conscious, walk, acute illness, facial flushing, double upper arm and bilateral chest, double armpits and scapular back scattered spots, Cord-like bleeding point. Skin no yellow dye, sclera showed mild yellow dye, bilateral ball conjunctiva obvious edema, and hyperemia, no bleeding.