病历简介患者,女,49岁,农民.因发热咳嗽七天,昏迷无尿8小时入院.体检:体温35℃以下,脉搏摸不到,呼吸32次/分,血压0/0kPa,中度昏迷,皮肤苍白湿冷,角膜反射减弱,对光反射迟钝,眼球无转动,颜面口唇紫绀,肝颈回流征(+),心率168次/分,律齐,音低钝,两侧胸部叩呈浊音,肺部散在细湿罗音,少许干罗音.肝肋下3cm,质软,边钝,四肢肌张力低,甲床紫绀,双下肢凹陷性浮肿(+),实验室检查:Hb140g/L, Medical examination Brief introduction Patients, female, 49 years old, peasants. Fever for cough for seven days, unconsciousness anuria for 8 hours admitted to hospital Physical examination: body temperature below 35 ℃, pulse 32 times / min, blood pressure 0 / Skin pale wet, corneal reflex, slow light reflex, no eye rotation, facial lip cyanosis, liver reflux syndrome (+), heart rate 168 beats / min, law Qi, tone low blunt, Department scattered in the wet rales, a little dry rales. Liver ribs 3cm, soft, blunt, low limb muscle tension, cyanosis nail bed, double lower limb depression edema (+), laboratory tests: Hb140g / L,