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患男,12岁,因持续发热5d,尿少1d,于1998年11月12日入院。发热伴频繁呕吐,吐出为胃内容物。拒食精神痿靡,自诉腰痛头痛头晕不适。无眼眶痛。在儿科门诊以“急性上呼吸道感染,脱水”给子青霉素、病毒唑静滴补液不见效。查体:T39.2℃,急性热病容,呼吸平稳。全身皮肤无出血点。腹平软,中上腹压痛明显,双肾区叩击痛。双下肢胫前无水肿。住院第2天双腋下皮肤散在帽
Male, 12 years old, due to persistent fever 5d, oliguria 1d, on November 12, 1998 admission. Fever with frequent vomiting, spit out for the stomach contents. Antifeeding spirit atrophy, private prosecution lumbago headache dizziness discomfort. No orbital pain. In pediatric outpatient “acute upper respiratory tract infection, dehydration” to sub-penicillin, intravenous infusion of ribavirin ineffective. Physical examination: T39.2 ℃, acute fever, breathing stable. No skin bleeding point. Abdomen soft, obvious tenderness in the abdominal region, peritoneal area percussion pain. No lower extremity anterior tibia edema. Day 2 hospitalized double armpit skin scattered in the cap