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患者:男,25岁。于住院前10小时突然恶心、呕吐、头晕、疲乏无力、四肢酸软入院。既往无糖尿病,家族中无特殊记载。入院检查:体温、脉搏、呼吸、血压正常。神志清楚,口唇粘膜干燥,皮肤弹性差,轻度脱水貌,瞳孔等大等圆,光反射存在。入院诊断急性胃炎。经补充血容量、抗炎及对症等治疗,病情不见好转。于住院第3日病人口干、头晕加重,意识恍惚,烦躁不安,谵语,面部潮红、出汗,脱水征明显。体温41℃,呼吸急促,迅速进入昏迷状态,血压下降,
Patient: Male, 25 years old. 10 hours before hospitalization suddenly nausea, vomiting, dizziness, fatigue, weakness, limbs and soft admission. No previous diabetes, no special records in the family. Admission examination: body temperature, pulse, respiration, normal blood pressure. Consciousness, dry lips and mucous membranes, skin elasticity is poor, mild dehydration, pupil and other large round, light reflection exists. Admission diagnosis of acute gastritis. The blood volume, anti-inflammatory and symptomatic treatment, the condition did not improve. On the 3rd day of hospitalization patients with dry mouth, aggravated dizziness, a sense of trance, irritability, shy, facial flushing, sweating, dehydration sign obviously. Body temperature 41 ℃, shortness of breath, quickly into a coma, decreased blood pressure,