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近年来,流行性出血热(下称出血热)疫区逐渐扩大,多数报道呈高度散发,一家发生多例者较少见。过去辽宁锦州地区从未见过报告,现就将本地区兴城县首发出血热一家6例报告如下。例1:马某,男,16岁。因发烧、头痛、全身痛、腹痛4天,伴恶心、呕吐咖啡色物2天,于1983年12月29日入院。查体:体温37℃,脉搏100次,血压110/70。嗜睡,疲惫状态,颜面潮红,球结膜充血、水肿,口唇干裂,咽部充血,胸背部及两腋下可见条索状出血点。全腹部有不固定性疼痛和压痛,肝、脾于肋下均可触及0.5～1.0cm,肾区明显叩击痛。化验:血红蛋白9.6g,白细胞47,000,中性68%,淋巴26%,异型淋巴6%,血小板1.8万。纤维蛋白原0.1g,三P试验(±),尿素氮76mg/dl,
In recent years, epidemic hemorrhagic fever (hereinafter referred to as hemorrhagic fever) epidemic area gradually expanded, the majority of reports were highly distributed, a case of multiple cases are rare. Past Jinzhou in Liaoning Province has never seen a report, now the Xingcheng County, the first case of hemorrhagic fever, a report of 6 cases are as follows. Example 1: Ma Mou, male, 16 years old. Because of fever, headache, generalized pain, abdominal pain for 4 days, with nausea, vomiting brown material 2 days, in December 29, 1983 admission. Physical examination: body temperature 37 ℃, pulse 100 times, blood pressure 110/70. Lethargy, exhaustion, facial flushing, conjunctival hyperemia, edema, dry lips, throat congestion, chest and back and two underarm visible cord-like bleeding. The whole abdomen has not fixed pain and tenderness, liver, spleen in the ribs can reach 0.5 ~ 1.0cm, perineal obvious percussion pain. Assay: Hemoglobin 9.6g, white blood cells 47,000, neutral 68%, lymphatic 26%, atypical lymphoid 6%, platelet 18,000. Fibrinogen 0.1g, three P test (±), urea nitrogen 76mg / dl,