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患者男,47岁。因发热2d伴血压下降24h入院。患者2d前开始畏寒、发热,体温达40℃,全身关节酸痛,恶心,呕吐,腹泻黄色稀水便,每日约10次,轻咳嗽,尿少,24h前在当地测血压下降,曾一度为0,拟“流行性出血热”予补碱,补液等抢救。既往体健。入院查体:T39℃,P110次,R24次,BP9.3/7.2kPa。神志清,精神极萎,全身皮肤潮红,可见散在性出血点及脓颗粒样痱子,浅表淋巴结不肿大,球结膜明显充血、轻度水肿,咽部充血,双侧肺底部可闻
Male patient, 47 years old. Due to fever 2d with blood pressure decreased 24h admission. Patients 2d before starting chills, fever, body temperature up to 40 ℃, body soreness, nausea, vomiting, diarrhea yellow dilute water, about 10 times a day, light cough, oliguria, measured blood pressure in the local 24h before decline, once 0, to be “epidemic hemorrhagic fever” to make up for alkali, fluid replacement and other rescue. Past physical health. Admission examination: T39 ℃, P110 times, R24 times, BP9.3 / 7.2kPa. Consciousness, extreme mental, body skin flushing, visible scattered bleeding and pus particles like raccoon, superficial lymph nodes, bulbar conjunctiva obvious congestion, mild edema, pharyngeal hyperemia, bilateral lung can be heard at the bottom