林××,男,51岁,广西邕宁县吴圩乡农民,已婚,汉族。因解茶色尿6天,发热畏寒3天,于1988年1月26日入院。患者于1月20日无诱因出现解茶色尿、腰胀、乏力。于24日发热、畏寒、寒战,伴轻咳,少许白色粘液痰。入院前一天晚上开始上腹痛,恶心,呕吐2次胃内容物,无咖啡样物。当时未作诊治,于26日送来我院。平素健康,有嗜烟、酒史,常吃鱼生。病前有水源接触史。家族史无特殊。查体:T38.7℃,P110次/分,R22次/分,BP16/8.7kPa.神清,发育正常,营养欠佳,中度脱水,自动体位。巩膜皮肤无黄染,皮肤无皮疹及出血点,无蜘蛛痣,无肝掌。腓肠肌压痛(+)双侧腹股沟淋巴结呈黄豆大。心界无扩大,心率110次/分,律整,各瓣膜区无病理性杂音。两 Lin × ×, male, 51 years old, Wu Wei Township, Suining County, Guangxi peasant, married, Han nationality. Due to the solution of brown urine 6 days, fever chills 3 days, January 26, 1988 admission. Patients on January 20 no incentive to relieve brown urine, waist swelling, fatigue. On the 24th fever, chills, chills, with light cough, a little white mucus sputum. On the night before admission, he started to have abdominal pain, nausea and vomiting twice a day, without coffee. At that time did not make diagnosis and treatment, on the 26th sent to our hospital. Usually healthy, there is smoke, wine history, eat fish raw. Premorbid water exposure history. No special family history. Examination: T38.7 ℃, P110 beats / min, R22 beats / min, BP16 / 8.7kPa. God clear, normal development, poor nutrition, moderate dehydration, automatic position. Sclera skin without yellow dye, no skin rashes and bleeding points, no spider nevus, liver palms. Gastrocnemius tenderness (+) bilateral inguinal lymph nodes were soybeans. No expansion of heart, heart rate 110 beats / min, law, the valve area without pathological murmur. Two