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1病例报告患者男,21岁,武警学员。于2014年5月30日参加5km负重(8kg)考核,在接近终点时突然意识不清,烦躁不安。随行医师立即给予降温、吸氧、输液等对症治疗,并迅速后送至附近医院,因病情进行性加重于次日转入我院。入院后查体:体温39.2℃,脉搏150/min,呼吸34次/min,血压86/48mmHg,血氧饱和度0.78;浅昏迷状态;全身肌阵挛、抽搐,皮温高并皮肤干燥,穿刺部位有散在瘀斑;巩膜轻度黄染,球结膜轻度水肿。实验室检查:血小板70×109/L,中性粒细胞百分比90.2%;总胆
A case report male patient, 21 years old, armed police practitioners. On May 30, 2014 to participate in the 5km load (8kg) assessment, approaching the end of the sudden unconsciousness, restlessness. Accompanied physicians immediately given cooling, oxygen, infusion and other symptomatic treatment, and promptly sent to the nearby hospital, due to the progressive nature of the disease transferred to the hospital the next day. After admission, physical examination: body temperature 39.2 ℃, pulse 150 / min, breathing 34 times / min, blood pressure 86/48 mmHg, oxygen saturation of 0.78; shallow coma state; systemic myoclonus, convulsions, skin temperature and dry skin, Scattered spot ecchymosis; scleral mild yellow dye, conjunctival mild edema. Laboratory tests: platelets 70 × 109 / L, 90.2% of neutrophils; total gall