病史摘要患者姚××,女,20岁,未婚,住院号58334 因发热10天,皮肤出血点、黑便、少尿4天于1979年7月17日入院。患者于7月7日食生瓜后腹痛、呕吐、腹泻伴里急后重,发热38.5℃。曾服用氯霉素、四环素、链霉素后腹泻减轻,但仍有小腹疼痛、发热,又改用黄连素、庆大霉素16万~u/日及补液治疗。7月13日患者出现呕血,黑便3～4次,上肢及胸腹部出现多个出血点和瘀斑。检查血象全血细胞减少,黄疸指数3单位,TTT2单位,SGPT200单位。14日尿量仅40毫升/日,用甘露醇、速尿注射后尿量不增,出现气促,心率144次/分,两肺湿性罗音,先后用西地兰0.4mg,毒毛旋花素K0.25mg。15日上午再用西地兰0.4mg后,出现频发室性早搏、短暂性室速,中午突 Medical history Abstract Yao × ×, female, 20 years old, unmarried, hospital number 58334 due to fever 10 days, skin bleeding point, melena, oliguria 4 days in July 17, 1979 admitted. Patients on July 7 after eating melon abdominal pain, vomiting, diarrhea with tenesmus, fever 38.5 ℃. Had taken chloramphenicol, tetracycline, streptomycin to reduce diarrhea, but still abdominal pain, fever, but also to berberine, gentamicin 160,000 ~ u / day and rehydration therapy. July 13 patients with hematemesis, melena 3 to 4 times, upper limbs and chest and abdomen multiple bleeding spots and ecchymosis. Check blood pancytopenia, jaundice index 3 units, TTT2 units, SGPT200 units. On the 14th urine output was only 40 ml / day, with mannitol, furosemide urine output does not increase after the emergence of shortness of breath, heart rate 144 beats / min, two lungs wet rales, successively with cedilanfang 0.4mg, poisonous hair spin Alanine K0.25mg. On the morning of the 15th and then cedilanid 0.4mg, frequent premature ventricular contractions, transient ventricular tachycardia, noon suddenly