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患儿女,5岁。以腹痛10天、排粘液血便1次、高热昏迷半天伴抽搐3次为主诉于1989年3月3日入院。体检:T40℃,R170次/分,36次/分,BP50/20mmHg。发育正常营养中等,神志昏迷,呼吸急促。眼眶凹陷,压眶反射消失,双侧瞳孔等圆等大,对光及角膜反射消失。口唇紫绀。颈软。双肺呼吸音粗,未闻及罗音。心率170次/分,律齐,心音低钝,未闻及杂音。腹平软,肝脾(一)。四肢冰冷,膝反射消失,巴氏征(一)。化验Hb11g％,WBC5000/mm~3,N41％,L51％。尿常规
Children with children, 5 years old. To abdominal pain for 10 days, a row of mucus bloody stools, high fever coma for half day with convulsions 3 times the main complaint in March 3, 1989 admission. Physical examination: T40 ℃, R170 beats / min, 36 beats / min, BP50 / 20mmHg. Normal development of normal nutrition, coma, rapid breathing. Orbital depression, pressure orbital reflex disappeared, bilateral pupil circle and other large, light and corneal reflex disappeared. The lips are cyanotic. Neck soft. Breath sounds coarse lungs, did not hear and rales. Heart rate 170 beats / min, law Qi, low heart sound blunt, no smell and noise. Abdomen soft, liver and spleen (a). Cold limbs, knee reflex disappeared, Pakistan’s sign (a). Laboratory Hb11g%, WBC5000 / mm ~ 3, N41%, L51%. Urine routine