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1 案例某男,40岁,行政拘留人员。某月17日下午6时左右在室外劳动时突发面色苍白,大汗淋漓,恶心呕吐,随之意识丧失,伴小便失禁,无肢体抽搐,急送市人民医院救治。查体:T:39℃,P:160次/min,R:24次/min。Bp:16/11kPa。神志呈浅昏迷状,生理反射存在,病理反射未引出。腹部B超提示轻度脂肪肝,头颅CT未见异常。经输液、脱水、抗感染、降温等对症治疗,病情无明显好转。18日清晨患者出现解血水样
A case of a male, 40 years old, administrative detainees. On the afternoon of the 17th of the 17th, when suddenly working in outdoor work, it was pale, sweating, nausea and vomiting, accompanied by loss of consciousness, urinary incontinence, limb twitching, and prompt delivery to the Municipal People’s Hospital for treatment. Examination: T: 39 ℃, P: 160 times / min, R: 24 times / min. Bp: 16 / 11kPa. Conscious was shallow coma, physical reflection exists, pathological reflex did not lead. Abdominal B-tip mild fatty liver, head CT showed no abnormalities. After infusion, dehydration, anti-infection, cooling and other symptomatic treatment, no significant improvement in the condition. Early in the morning of 18 patients with hemorrhagic water samples