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患男,34岁,因发热3d,少尿伴呕吐、腹痛、黑便1d,晕厥1次入院。既往无心脏病史。查体:T35℃,P96次/mim,BP9.3/6.7kPa。神志清楚,精神极差,四肢厥冷。腋前后皮肤可见数个散在出血点,双球结膜Ⅰ°水肿,轻度充血。肺清音,心界不大,律不齐,心率96次/min,心音低钝,各瓣膜区未闻及杂音。上腹部有轻压痛,反跳痛(-),肝、脾肋下未及。双肾区叩击痛明显。实验室检查:血常规WBC16×10~9/L,N0.78,L0.12,异淋0.10,Pt57×10~9/L。尿常规示:蛋白+++,白细胞2～4/HP,低倍镜下可见颗粒管型。心电图示Ⅲ°房室传导阻滞,短阵室性心动过速。入院第2天两次发生阿斯综合征,分别给予可托品及异丙肾上腺素治
Suffering from men, 34 years old, due to fever 3d, oliguria with vomiting, abdominal pain, melena 1d, syncope 1 admission. No previous history of heart disease. Physical examination: T35 ℃, P96 times / mim, BP9.3 / 6.7kPa. Consciousness, very poor spirit, extremities Jueleng. A few scattered bleeding in the anterior and posterior axillae were observed. The double conjunctival I ° edema and mild hyperemia were observed. Pulmonary tone, the heart is not big, irregular, heart rate 96 beats / min, low heart sound blunt, the valve area did not smell and noise. Upper abdomen with mild tenderness, rebound tenderness (-), liver, spleen and ribs have not yet. Kidney area percussion pain significantly. Laboratory tests: blood WBC16 × 10 ~ 9 / L, N0.78, L0.12, different leaching 0.10, Pt57 × 10 ~ 9 / L. Urine routine shows: protein +++, leukocytes 2 ~ 4 / HP, visible under low magnification particle tube. ECG showed Ⅲ ° atrioventricular block, paroxysmal ventricular tachycardia. On the second day of admission, Aspergill syndrome occurred twice and was treated with tropicone and isoproterenol