患者女,30岁。因全身皮疹、恶心呕吐4小时入院。患者入院当天无明显诱因出现持续性头痛,自服氨酚待因2片头痛缓解,4小时后出现全身搔痒、皮疹,继之出现上腹部、双侧腰背部疼痛,恶心呕吐,吐物为胃内容物,解鲜红色大便1次,尿呈酱油色。查体:神清,精神差,全身皮肤、巩膜黄染,双上肢及躯干见红色皮疹,腹软,有压痛,以上腹偏左明显,叩为鼓音,双肾区叩击痛,化验检查:血红蛋白 Female patient, 30 years old. Due to systemic rash, nausea and vomiting 4 hours admission. On the day of admission, there was no obvious incentive for persistent headache. Self-serving acetaminophen was relieved due to 2 headache. After 4 hours, systemic pruritus and skin rashes appeared, followed by upper abdomen, bilateral lower back pain, nausea and vomiting. Objects, solution of red stool 1, urine was soy sauce color. Physical examination: Shen Qing, poor spirits, systemic skin, scleral yellow dye, red upper extremity and trunk see the rash, abdominal soft, tenderness, the left abdominal obvious left, knocking drum sound, perineal area percussion pain, laboratory tests Hemoglobin