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患者,男,56岁。因发热头痛、腰痛、呕吐5天,尿少2天入院。体检:T39℃,P88次/分,R18次/分,BP12/6kPa。神志清醒,面部颈胸部皮肤潮红,呈醉酒貌,球膜充血水肿,右大腿外侧见散在出血点瘀血斑。心肺正常,肝脾肋下未及,双肾区有叩击痛。既往无肝病、肝硬化、胃及十二指肠溃疡史。实验室检查:血WBC18.4×10~9/L,N 0.8,L0.20,PIt 80×10~9/L。尿:蛋白(++),红细胞(++),糖(-)。肾功能:BUN 12.5mmol/L,Cr358μmol/L,血清钾4.3mmol/L,钠136mmol/L,氯化物100mmol/L,CO_2CP 25mmol/L。肝功能正常,HBsAg(-)。
Patient, male, 56 years old. Due to fever headache, back pain, vomiting for 5 days, 2 days less urine admission. Physical examination: T39 ℃, P88 times / min, R18 times / min, BP12 / 6kPa. Conscious, facial neck and chest skin flushing, was drunk appearance, membrane congestion and edema, see the right thigh outside the bleeding spot bleeding stains. Cardiopulmonary normal, liver and spleen ribs, and perineal area percussion pain. Past no liver disease, cirrhosis, stomach and duodenal ulcer history. Laboratory tests: blood WBC18.4 × 10 ~ 9 / L, N 0.8, L0.20, PIt 80 × 10 ~ 9 / L. Urine: Protein (++), Erythrocytes (++), Sugar (-). Renal function: BUN 12.5mmol / L, Cr358μmol / L, serum potassium 4.3mmol / L, sodium 136mmol / L, chloride 100mmol / L, CO_2CP 25mmol / L. Normal liver function, HBsAg (-).