1　病例报告例 1　患者男 ,2 1岁。因发热、腹泻、胸闷、咳嗽、咯血、呼吸困难 2ｄ ,伴头痛、乏力、尿少、纳差、呕吐等入院。院外曾出现休克。查体 :体温 3 8℃ ,呼吸 4 4/ｍｉｎ ,精神差 ,双肺呼吸音粗 ,闻及喘鸣音及双肺底湿啰音。实验室检查 :白细胞 1 5.6× 1 0 9/Ｌ ,中 1 case report 1 patient male, 21 years old. Due to fever, diarrhea, chest tightness, cough, hemoptysis, difficulty breathing 2d, with headache, fatigue, oliguria, anorexia, vomiting and other admission. Shock had appeared outside the hospital. Physical examination: body temperature 38 ℃, breathing 4 4 / min, poor spirit, lung breath sounds thick, smell and wheeze and lungs at the end of wet rales. Laboratory tests: WBC 1 5.6 × 109 / L, medium