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1997年4月23日、6月15日、7月23日,我站分别接到来自西青医院、西青中医院和市传染病医院报告的肾综合征出血热疫情,有关情况如下:1 临床表现患者郝亚鸾,女,55岁,杨柳青十八街村民.于4月20日发病,4月23日上午9时出现头晕、呕吐、尿少,入西青医院.查体温37.7℃,神清,面色苍白,唇甲发绀,脉搏细弱,四肢厥冷,前颈部及上胸部皮肤潮红,血压为零.自发病以来最高体温39℃,一般状态差,11小时排尿200ml,应用大量速尿仍无尿.后颈部可见散在大小不等、形态各异的暗红色略凸出皮肤表面的斑丘疹.抢救过程中采静脉血失败,最后从股动脉采血做常规检验.患者休克严重经抢救未见缓解,24:00家属要求出院,回家后即死亡.防病站接报告后去调查,所采血样因病人出院被扔掉未能化验.该病例按疑似出血热报告.
On April 23, June 15 and July 23, 1997, I received reports of hemorrhagic fever with renal syndrome hemorrhagic fever with renal syndrome respectively from Xiqing Hospital, Xiqing Hospital of Chinese Medicine and Shanghai Infectious Diseases Hospital. The relevant information is as follows: 1 Clinical manifestations of patients Hao Ya, female, 55 years old, Yangliuqing 18 Street villagers in the April 20 onset, at 9 am on April 23 dizziness, vomiting, oliguria, into the West Green Hospital. , Pale, lips cyanosis, weak pulse, extremities Jueleng, the front neck and upper chest skin flushing, blood pressure is zero since the onset of the highest temperature of 39 ℃, the general state of poor, 11 hours urination 200ml, the application of a large number of furosemide still Anuria.After the neck visible scattered in different sizes, dark red in different shapes slightly protruding rash on the surface of the skin during the rescue failed to collect venous blood, and finally from the femoral artery blood routine tests done to patients with severe shock by the rescue See alleviation, 24:00 family members asked to leave the hospital, died after returning home .After the disease station to report to investigate, the blood samples were discharged because the patient was thrown away failed to test the case of suspected hemorrhagic fever.