患者男,65岁。因5天来心悸、胸闷伴气促、纳呆、尿少、恶心间有呕吐入院。前月余来腹泻频数,有脓血便伴里急后重,近5日每日稀便1～2次。既往有慢性咳嗽、咯痰、气促10余年,加重20天,咯白粘痰不易吐出。长期来泪少,双眼干燥,1年前患“点状角膜炎”并“虹膜睫状体炎”,右眼遗留角膜白斑。平时唾液少,口干,涎痰粘稠不易吐出,语音低哑,并有双膝、踝、趾关节僵痛史。否认“心脏病”及心悸、胸闷等病症史。体查:体温37.2℃、脉搏66次、呼吸20次、血压测不到。发育可、一般差、神清。皮肤弹性差,无黄疸及皮疹。浅淋巴结不大,毛发正常,巩膜不黄、双瞳等反射可,右眼角膜 Male patient, 65 years old. Due to 5 days palpitations, chest tightness with shortness of breath, poor appetite, oliguria, nausea and vomiting between hospitalization. More than a month before the diarrhea frequency, with septic and blood will be tenesmus, nearly 5 daily loose stool 1 or 2 times. Past chronic cough, expectoration, shortness of breath more than 10 years, increased 20 days, slightly sticky phlegm is not easy to spit. Long-term tears less, dry eyes, a year ago suffering from “punctate keratitis” and “iridocyclitis,” left corneal leukoplakia. Usually less saliva, dry mouth, thick saliva sputum difficult to spit, dumb voice, and knees, ankles, toe joint pain history. Denied the “heart disease” and heart palpitations, chest tightness and other diseases history. Physical examination: body temperature 37.2 ℃, pulse 66 times, breathing 20 times, blood pressure can not be measured. Development can be, generally poor, God clear. Poor skin elasticity, no jaundice and rash. Shallow lymph nodes, normal hair, sclera is not yellow, double pupil and other reflex, right cornea