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患者,男,44岁,因畏寒,发热伴头痛,眼眶痛,腰痛5天,尿少1天,于1983年12月23日入院。因持续发热,“三痛”伴头昏、乏力、食欲减退、恶心、呕吐3～4次,拟诊“上感”,应用青、链霉素、退热剂等治疗。检查:T36.8℃,P96次/分,Bp106/90mmHg,精神萎靡,表情痛苦,呈急性病容。颜面部轻度浮肿,充血潮红,颈部、上胸部充血潮红,咽峡、软腭充血并见簇状出血点,前胸、腋下见散在针尖状出血点,双臀上外侧,分别见2×1.5cm、1.5×1cm的皮下瘀斑。心肺未见异常。肝脾未及。双肾区叩击痛。白细胞12000,中性80%,淋巴15%,异型淋巴5%;红细胞
Patient, male, 44 years old, admitted to hospital on December 23, 1983 due to chills, fever with headache, orbital pain, low back pain for 5 days and oliguria for 1 day. Due to persistent fever, “three pains” with dizziness, fatigue, loss of appetite, nausea, vomiting 3 to 4 times, to be diagnosed “sense”, the application of blue, streptomycin, antipyretics and other treatment. Check: T36.8 ℃, P96 beats / min, Bp106 / 90mmHg, apathetic, facial expression pain, was acute disease. Face facial mild edema, congestion and flushing, neck, upper chest congestion and flushing, pharyngeal gorge, soft palate congestion and see the cluster bleeding points, chest, armpit see scattered in the needle-like bleeding, double hip on the outside, respectively, see 2 1.5cm, 1.5x1cm subcutaneous ecchymosis. Heart and lung no abnormalities. Liver and spleen not yet. Kidney area percussion pain. White blood cells 12000, 80% neutral, lymph 15%, atypical lymphoid 5%; red blood cells