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顾某 男,36,岁,患者入院前4天劳累后畏寒发热,全身酸痛,乏力。第3日晚上突然昏倒,全身冷汗,3min后清醒。既往健康,家族史无特殊。入院体检:T39.2℃,P88/minR20次/min,BP13.3/6.7kpa,神志清,急性热病容,皮肤未见出血点,咽充血,双扁桃体Ⅱ。肿大,两肺呼吸音清晰,未闻罗音,心界不大,心律齐,88次/min,心音略低,各瓣膜未闻杂音,肝脾未触及。实验室检查:Hb128g/L,WBC6.8×10~9/L,中性84％,杆状核5％,淋巴25％,单核6％,未找到疟原虫。尿便常规、血生化、肝肾功能均未见异常,肥达氏反应阴性,血培养无细菌生长。GOT185u/L,LDH319u/L,CPK1056u/L。心电图呈低电压及广泛ST段明显
Gu Moumou, 36, year-old, patients admitted to hospital 4 days after exerting chills and fever, body aches, fatigue. Suddenly collapsed on the 3rd night, cold sweat, wake up after 3min. Past health, family history no special. Admission medical examination: T39.2 ℃, P88 / minR20 times / min, BP13.3 / 6.7kpa, clear consciousness, acute fever, skin no bleeding, pharyngeal congestion, double tonsil II. Swelling, both lungs breath sounds clear, did not hear Luo sound, heart is not big, heart rate Qi, 88 times / min, heart sounds slightly lower, the valve unheard noise, liver and spleen not touched. Laboratory tests: Hb128g / L, WBC 6.8 × 10 ~ 9 / L, neutral 84%, 5% of the rod, lymph, 25%, mononuclear 6%, did not find Plasmodium. Urine routine, blood biochemistry, liver and kidney function were not abnormal, negative Widal reaction, blood culture without bacterial growth. GOT185u / L, LDH319u / L, CPK1056u / L. ECG showed low voltage and a wide range of ST significantly