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患者男性,44岁,于1981年3月20日入院。3月11日始骤感寒战,继以高热,伴周身不适、乏力,当地医院肌注青霉素后迄未退热。病前无感染和手术史。三年前因心脏杂音曾诊断为“风湿性心脏瓣膜病”。入院时体检:体温39℃,脉搏100次/分。呼吸20次/分,血压140/90毫米汞柱。神志清晰,周身皮肤可见散在瘀点,以胸背部及二上肢较密集,未见有创伤及感染病灶,亦无结节及红斑,口腔粘膜及双侧上下眼睑均有出血点,巩膜轻度黄染,浅表淋巴结不肿大,颈软,
The patient, male, 44 years old, was admitted on March 20, 1981. March 11 began to feel chills, followed by high fever, with discomfort, fatigue, local hospital after penicillin has not yet antipyretic. No infection and surgery before surgery. Three years ago, heart murmur had been diagnosed as “rheumatic heart valve disease.” Physical examination on admission: body temperature 39 ℃, pulse 100 beats / min. Breathe 20 beats / min, blood pressure 140/90 mm Hg. Consciousness, scattered around the skin visible petechia, chest and back to the two upper limbs more intensive, no trauma and infection, nor nodules and erythema, oral mucosa and both upper and lower eyelids have bleeding, scleral mild yellow Dyed, superficial lymph nodes are not swollen, neck soft,