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男患,32岁。司机。因畏寒,发热、头痛、腰痛三天,于1988年10月17日以“感冒”入院。治疗二天,病情恶化。体检:T39.6℃、P130次/分、R24次/分、Bp10.6/6.7kPa。急性重病容、烦渴欲饮、无尿、颜面浮肿、酒醉貌、眼睑浮肿、皮肤肿胀,颜面、颈、上胸皮肤潮红、双腋下有出血点、心肺正常、肝脾未扪及、腹水(-),双肾区叩击痛(++)。血常规:Hb110g/L,RBC4.1×10~(12)/L、WBC6.4×10~9/L、N0.68、L0.30、异淋0.02、BPC66×10~9/L、BT3分30秒,CT3分30秒,尿常规蛋白(+++)、RBC0-5/HP、WBC0—1/HP、颗粒管
Male suffering, 32 years old. driver. Because of chills, fever, headache, back pain for three days, in October 17, 1988 to “cold” admitted. Two days of treatment, the condition deteriorated. Physical examination: T39.6 ℃, P130 beats / min, R24 beats / min, Bp10.6 / 6.7kPa. Acute serious illness, tired thirsty to drink, no urine, facial edema, drunken appearance, eyelid edema, skin swelling, face, neck, upper chest skin flushing, bleeding under the armpits, normal heart and lungs, liver and spleen not palpable, Ascites (-), perineal area percussion pain (++). Blood: Hb110g / L, RBC4.1 × 10-12 / L, WBC6.4 × 10 ~ 9/L, N0.68, L0.30, different leaching 0.02, BPC66 × 10 ~ 9 / L, BT3 30 minutes, CT3 minutes and 30 seconds, urine routine protein (+++), RBC0-5 / HP, WBC0-1 / HP, pellet tube