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男，39岁，1992年1月11日入院，住院号52964，某医科大学附属医院检验师。因畏寒、发热、全身肌肉酸痛24小时，伴昏厥一次，门诊血压测不出，以休克待查急诊入院。入院后患者出现胸痛、咳少量脓血痰。查体：T37℃、P130次/分、R26次/分、BP％KPa，急性病容，烦躁，呻吟，四肢厥冷，皮肤粘膜无出血点，轻度桶状胸，心界无扩大，心率130次/
Male, 39 years old, admitted to hospital on January 11, 1992, hospital number 52964, an examiner at a medical university affiliated hospital. Because of chills, fever, body aches 24 hours, accompanied by fainting, outpatient blood pressure can not be measured, to be admitted to the emergency department of emergency. After admission, patients with chest pain, cough, a small amount of sputum sputum blood. Physical examination: T37 ℃, P130 beats / min, R26 beats / min, BP% KPa, acute illness, irritability, moaning, extremities Jueleng, skin and mucous membrane without bleeding, mild barrel chest, heart without expansion, heart rate 130 Times /