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例1:女,11月.发热1天,嗜睡半天。昏迷7小时。既往健康。体检:昏迷,血压12/6kPa,呼吸深大,面色苍黄.口唇紫绀,皮肤干燥。肢端冰凉,眼窝深陷。心率120次/分,律整.心音弱,肺与腹部正常.白细胞计数23.5×10~9/L。嗜中性粒细胞0.84,淋巴细胞0.16。二氧化碳结合力6.2mmol/L。拟诊感染性休克。采取扩充血容量、纠正酸中毒、抗感染及应用血管活性药等措施,抢救4小时,脱水、酸中毒无改善.昏迷加重,尿多.血压始终无明显波动.查尿糖(++++)。酮体(++)。血
Example 1: Female, November. Fever 1 day, lethargy for half a day. Coma for 7 hours. Past health. Physical examination: coma, blood pressure 12 / 6kPa, deep breathing, pale yellow, lips cyanosis, dry skin. Extremities cold, deep orbital. Heart rate 120 beats / min, law, whole body, weak heart sounds, normal lung and abdomen, white blood cell count 23.5 × 10 ~ 9 / L. Neutrophils 0.84, Lymphocytes 0.16. Carbon dioxide binding capacity of 6.2mmol / L. Infectious septic shock. Take measures to expand blood volume, correct acidosis, anti-infective and application of vasoactive drugs, rescue 4 hours, dehydration, no improvement of acidosis.Cooperation increased, urine and more.Under blood pressure has no obvious fluctuations.Check urine (++++ ). Ketone body (++). blood