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患者,男,37岁,于1985年3月1日突然冷烧,体温升至39.7℃,伴有头痛,腰痛,腿痛,周身疲乏无力,3月3日始有腹痛,以脐周为主,呈持续性,并有腹胀,大便呈糊状深红色,日1～2次,病情逐日增重,于1985年3月7日入我院。既往一贯体健,无肝病史。查体:体温38.7℃,脉搏102次/分,血压98/66mmHg,巩膜皮肤无黄染,面、颈、上胸部充血。腋下、胸、腹部有散在出血点,腹平软,肝上界在右侧锁骨中线第五肋间,下界可触及1.0cm,质软,压痛(-)叩痛(±),末梢血象:白细胞总数30800/mm~3,中性84％,淋巴13％,尿蛋白(++),尿素氮17mg％,肌酐1.5mg。肝功能:谷丙转氨酶5lu,余项正常,3
Patients, male, 37 years old, on March 1, 1985 suddenly cold, body temperature rose to 39.7 ℃, accompanied by headache, back pain, leg pain, whole body fatigue, beginning March 3 abdominal pain, mainly in the umbilical weeks. , Was persistent, and abdominal distension, stool was dark red paste, 1 to 2 times a day, the condition daily gain, on March 7, 1985 into our hospital. Past consistent body health, no history of liver disease. Physical examination: body temperature 38.7 ℃, pulse 102 beats / min, blood pressure 98/66 mmHg, scleral skin no yellow dye, face, neck, upper chest congestion. Armpit, chest, abdomen scattered bleeding point, abdominal soft, the upper boundary of the liver in the right subclavian midline of the fifth intercostal, the lower bound can reach 1.0cm, soft, tenderness (-) percussion pain (±), peripheral blood: The total number of leukocytes was 30,800 / mm ~ 3, 84% neutral, 13% lymphatic, urinary protein (++), urea nitrogen 17mg%, creatinine 1.5mg. Liver function: alanine aminotransferase 5lu, the remaining normal, 3