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男,23岁,民工。因发热头痛16小时,皮肤出血7小时入院。患者于1986年7月14日晚上7时许,饭后突然出现畏寒、头痛,随即发热,四肢无力,全身骨痛。到某院门诊,经服ABOB及APC等治疗未效。15日凌晨1时30分,发热39.8℃,头痛加剧,症状加重,嗜睡,再送院观察治疗。清晨4时(发病第9小时),患者头面部及躯干出现皮下出血点,且迅速增加,血压80/60。呕吐2次为咖啡色未消化食物,排黑大便
Male, 23 years old, laborer. 16 hours due to fever headache, skin bleeding 7 hours admission. Patients July 7, 1986 at 7 pm, after a sudden onset of chills, headache, fever, limb weakness, body pain. To a hospital clinic, the service ABOB and APC treatment is not valid. At 1:30 on the 15th, fever 39.8 ℃, increased headaches, symptoms, lethargy, and then sent to the hospital for observation and treatment. At 4 a.m. (the 9th hour of onset), the subcutaneous bleeding point appeared on the face and trunk of the patient and rapidly increased. The blood pressure was 80/60. Vomit 2 times brown undigested food, row black stool