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患者王某,男,32岁。3d前因腹部跌伤,自用草药四叶细辛约50g煎服,第2d出现左上腹隐痛伴恶心,在当地卫生院静脉注射50％葡萄糖60ml,第3d出现呼吸急促伴尿量减少收住本院。既往体健。入院时检:T36.5℃,P120次/min,R32次/min;Bp12/8kPa,意识清,精神极度软弱,面色萎黄,皮肤弹性差,巩膜、皮肤轻度黄染。颈部无抵抗,颈静脉无怒张。胸廓无畸形及红肿,呈深而块呼吸,双肺呼吸音粗糙,未闻及干、湿性罗音。心率120次/min,心律齐,心尖区第一心音低钝,未闻及杂音。腹平软,肝肋下2cm,剑突下3.5cm,质地软,轻压
Patient Wang, male, 32 years old. 3 days before the abdomen falls injury, self-medicinal herbs asarum about 50g decoction, the first 2d left upper abdomen with pain and nausea, intravenous injection of 50% glucose in the local hospitals 60ml, the first three days of shortness of breath with decreased urine output to receive this hospital. Past physical health. Admission examination: T36.5 ℃, P120 times / min, R32 times / min; Bp12 / 8kPa, consciousness clear, the spirit of extreme weakness, pale complexion, skin elasticity is poor, sclera, skin mild yellow dye. Neck no resistance, no jugular vein engorgement. Thoracic deformity and redness, deep and block breathing, rough lung breath sounds, did not smell and dry, wet rales. Heart rate 120 beats / min, heart rate Qi, apical low first heart sound blunt, no smell and noise. Abdomen soft, liver ribs 2cm, xiphoid 3.5cm, soft texture, soft pressure