论文部分内容阅读
患者男,42岁。因发热、头痛、腰痛、眼眶痛伴恶心呕吐4天入院。有鼠、蚤接触史。查体:体温40.1℃,脉搏120次,呼吸22次,血压16/11kPa。患者精神萎靡,醉酒貌,球结膜充血水肿,软腭及双腋下有数枚出血点,双肾区叩痛。化验:尿蛋白(++)。白细胞及管型少许;血白细胞3.9×10~9/L,血红蛋白120g/L,红细胞4.69×10~(12)/L;血小板60×10~9/L,大便潜血强阳性;肝功谷丙转氨酶654U,间接免疫荧光试验(IFA)为1:320
Male patient, 42 years old. Due to fever, headache, back pain, orbital pain with nausea and vomiting 4 days admission. A rat, flea exposure history. Physical examination: body temperature 40.1 ℃, pulse 120 times, breathing 22 times, blood pressure 16 / 11kPa. Patients with apathetic, drunk appearance, conjunctival hyperemia and edema, soft palate and double armpits have several bleeding points, peritoneal area percussion pain. Assay: Urinary protein (++). White blood cells and tube a little; white blood cells 3.9 × 10 ~ 9 / L, hemoglobin 120g / L, red blood cells 4.69 × 10-12 / L; platelets 60 × 10 ~ 9 / L, strong fecal occult blood; Aminotransferase 654U, Indirect Immunofluorescence Assay (IFA) 1: 320