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患者女,24岁,因畏寒、发热、频繁吐泻30h于1988年10月28日入院,呕吐10多次:先为胃内容物:后为黄色苦水,腹泻亦10多次:为黄色稀水样大便, 入院时T40℃(×),P240:R40,BP0/0kPa。神智清楚,呼吸急促:表情淡漠,四肢厥冷,口唇及指端紫绀,皮肤有花纹,无出血点及皮疹,巩膜未见黄染,两肺无异常,HR240,心音低钝。腹乎软,无压痛。肝、脾肋下未触及,大便外观黄稀,镜检WBC+++,RBC++,脓球+。入院诊断:(1)中毒
Female, 24 years old, due to chills, fever, frequent vomiting and diarrhea 30h on October 28, 1988 admission, vomiting more than 10 times: first for the stomach contents: after the yellow bitter water, diarrhea also more than 10 times: yellow water Stool-like, admission T40 ℃ (×), P240: R40, BP0 / 0kPa. Cleverness, shortness of breath: apathy, cold limbs, cyanotic lips and fingers, the skin pattern, no bleeding and rash, sclera no yellow dye, no abnormal lung, HR240, low heart sound blunt. Belly soft, no tenderness. Liver, spleen ribs did not touch the stool, yellowish appearance, microscopic examination WBC +++, RBC ++, pus ball +. Admission diagnosis: (1) poisoning