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患者,徐××,男,27岁,1984年11月1日,以发烧、头痛腰痛5天、神志恍惚20小时入院.于5日前无明显诱因出现发烧、头痛、眼眶痛、腰痛、全身痛,以小腿肚痛较为明显,伴恶心、呕吐、纳差。在基层卫生所按“感冒”治疗,症状不见好转,且出现血水便,给静点糖盐水加四环素1克。在第二天输液中出现输液反应,即转到我科住院。查体:T36.2℃,P120次/分,R16次/分,BP15.7/10.6kpa 神志恍惚,面色苍白,
Patients, Xu × ×, male, 27 years old, November 1, 1984, with fever, headache, back pain, 5 days, delirium 20 hours admitted to the hospital on the 5th no obvious incentive for fever, headache, orbital pain, back pain, To calf pain was more obvious, with nausea, vomiting, anorexia. In primary health clinics by the “cold” treatment, the symptoms did not improve, and there will be bloody stool, to the point of sugar plus tetracycline 1 gram of sugar. Infusion reaction in the infusion the next day, that is transferred to our hospital. Physical examination: T36.2 ℃, P120 beats / min, R16 beats / min, BP15.7 / 10.6kpa trance, pale,