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作者报告1例以急性胃肠炎起病的暴发型脑膜炎球菌败血症。患者男性,61岁。由于支气管哮喘而用小量激素多年。住院前健康状况良好。病史为腹部痠痛及大量腹泻,数小时内排出大量水样便。下午患者清醒但大便失控,继之意识丧失而住院。入院时已发病12小时,呈重度休克及末稍循环衰竭、低血压。此时无瘀斑及颈抵抗。肛表体温正常。化验检查:白血球1500,血小板明显减低,仅12500;动脉血气分析为二氧化碳分压61毫米汞柱,氧饱合度60%,pH7.15;血糖49毫克%。未作腰穿。余无特殊发现。住
The authors report a case of fulminant meningococcal sepsis with acute gastroenteritis onset. Male patient, 61 years old. Due to bronchial asthma with a small amount of hormones for many years. Good health before hospitalization. A history of abdominal pain and a large number of diarrhea, discharge a large number of water samples within a few hours. Afternoon patients awake but stool loss of control, followed by loss of consciousness and hospitalization. Admission has been onset of 12 hours, was severe shock and end circulatory failure, hypotension. At this time no ecchymosis and neck resistance. Anal table body temperature is normal. Laboratory tests: white blood cells 1500, significantly reduced platelets, only 12500; arterial blood gas analysis of carbon dioxide partial pressure 61 mm Hg, oxygen saturation 60%, pH7.15; blood sugar 49 mg%. Not wear waist. No special discovery. live