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33岁女患文小玲,3月4日为停经一年调经用益母草约400克煎成汤剂,一次口服一半,24小时后出现腹痛,头痛,腰痛,周身发抖,无食欲,呕血,尿血,阴道出血,柏油样便,出血量约1500毫升,汗多,双下肢麻木三天,入急诊科。过去史:1983年患肝硬化、渗出性胸膜炎。体查:体温37℃,脉搏108次/分,呼吸24次/分,血压80/70毫米汞柱,神清,发育营养中等,心肺(—),颈项软,巴氏征(—),Hb8克%,WBc12.630个/立方毫米,N74%,L26%,尿蛋白(+++),镜检:红细胞
33-year-old female sufferer Wen Xiaoling, March 4 for menopause one year after menstruation with Motherwort about 400 grams Jiancheng decoction, one oral half, 24 hours after the occurrence of abdominal pain, headache, low back pain, whole body shivering, no appetite, vomiting blood, hematuria , Vaginal bleeding, tarry stools, bleeding volume of about 1500 ml, sweating, numbness of the lower limbs for three days into the emergency department. Past history: Cirrhosis and exudative pleurisy in 1983. Physical examination: body temperature 37°C, pulse 108 beats/min, respiratory rate 24 breaths/min, blood pressure 80/70 mm Hg, Shen Qing, moderate developmental nutrition, heart and lung (-), soft neck, Pap sign (-), Hb8 Gram%, WBc12.630/mm3, N74%, L26%, urinary protein (+++), microscopic examination: red blood cells