论文部分内容阅读
男患,23岁.3天前无诱因发热,体温达9.5℃,伴头晕、恶心、腹部不适,次日解绿水样大便,每日5次,伴下肢肌肉疼痛,后少尿,约100ml/日.查体:T39.2℃,P116次,R30次,Bp6.67/4.0kPa(50/30mmHg)至测不到。精神差,嗜睡状态。全身皮肤可见密集暗红色猩红热样皮疹,以躯干部明显,压之退包,胸前区并可见粟粒状白色丘疹,皮肤弹性差.结膜充血、水肿,眼眶无压痛,口唇紫绀,咽峡部充血.心、肺、腹无异常发现。神经生理反射正常,病理反射未引出。化验:Hb115g/L,WBC11.3×10~9/L,N
Male suffering, 23 years old .3 days ago, no incentive fever, body temperature of 9.5 ℃, with dizziness, nausea, abdominal discomfort, the next day solution green stool, 5 times a day, with lower extremity muscle pain, oliguria, about 100ml Physical examination: T39.2 ℃, P116 times, R30 times, Bp6.67 / 4.0kPa (50 / 30mmHg) can not be measured. Poor spirit, lethargy state. Dark red scarlet hot skin rash can be seen in the whole body, with obvious trunk and back pressure. The chest area shows miliary white papules, with poor skin elasticity. Conjunctival hyperemia, edema, orbital tenderness, cyanotic lips and congestion of the throat of the throat. Heart, lung, abdomen without exception found. Normal neurophysiological reflex, pathological reflex did not lead. Assay: Hb115g / L, WBC11.3 × 10 ~ 9 / L, N.