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患者,男,22岁。发热、恶心3天,于1985年2月24日20时入院。患者于21日前开始发热,咽痛,伴有乏力、厌油、恶心,呕吐,尿黄,否认病前肝炎接触史,驻出血热疫区。体检:T38.5℃,P92次,BP120/80,神清,呈热病容,全身皮肤及腋下可见少数出血点,巩膜黄染灯下分不清,咽部充血,肝区有叩击痛无肿大,余(一)。实验室检查:WBC8.5×10~9/L(8500/mm~3),N 76％,T 22％,E 2％。入院第2天(病程第5病日),巩膜轻度黄染,咽软腭可见散在出血点,皮肤腋下出血点增多,有的融合呈抓痕样。Hb 110g/L(11g/dl),WBC4.7×10~9/L、N 71％、L 27％、E 2％、BPC 56×10~9/L(56000/mm~3);尿蛋白(+++)尿胆元1:10(+),尿胆红索(+);黄疸指数15u、总胆红质1.5mg％,凡登白试验即刻反应,麝浊8u,麝絮(+)、SGPT30u,IgM光荧抗体1:40(++),4天后黄疸指数18u,总胆红质2.6mg％,凡登白试验双相反应,麝浊10u、
Patient, male, 22 years old. Fever, nausea for 3 days, at 20:00 on February 24, 1985 admitted. Patients began fever on the 21st before, sore throat, accompanied by fatigue, tired of oil, nausea, vomiting, urinary yellow, deny the history of pre-existing hepatitis exposure, in hemorrhagic fever epidemic area. Physical examination: T38.5 ℃, P92 times, BP120 / 80, Shen Qing, was febrile disease, the body skin and underarm visible a small number of bleeding points scleral yellow light can not distinguish, throat congestion, liver percussion pain No swelling, Yu (a). Laboratory tests: WBC 8.5 × 10 ~ 9 / L (8500 / mm ~ 3), N 76%, T 22%, E 2%. Admission the first 2 days (disease duration of the first 5 days), scleral mild yellow dye, pharynx soft palate visible scattered bleeding point, the skin increased armpit bleeding point, some fusion was scratched like. Hb 110 g / L (11 g / dl), WBC 4.7 × 10 9 / L, N 71%, L 27%, E 2%, BPC 56 × 10 9 / L (+++) urolithiasis 1:10 (+), urinary bilirubin (+); jaundice index 15u, total bilirubin 1.5mg%, Vandenbill test immediately reaction, musk turbot 8u, musk floss ), SGPT30u, IgM light fluorescent antibody 1:40 (++), 4 days after the jaundice index 18u, total bilirubin 2.6mg%, Vandenbai test biphasic reaction, musk turbidity 10u,