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患者女,26岁,因持续发热6天,血压下降1天于1980年9月24日入院。患者系第一胎足月孕妇,5天前出现恶心、下腹坠胀由接生员在家中行阴道检查,次日出现发热、下腹部隐痛伴多次黄色水样便,3天前娩出一死婴,高热不退,又有咳嗽、气急,血压下降至80/50,曾诊断为“中毒性肠炎”、“产后败血症”、“感染性休克”,用过红、氯霉素及输血等。体检:体温38.4℃,脉搏100次,呼吸20次,血压100/64。心律齐,心音低钝。左下肺闻及散在性细小
The patient, 26 years old, was admitted to hospital on September 24, 1980, due to a sustained fever of 6 days and a one-day drop in blood pressure. Patient was the first full-term pregnant women, 5 days ago, nausea, abdominal bulge by the midwife attending the vaginal examination at home, the next day fever, lower abdominal pain with multiple yellow watery stool, 3 days before delivery of a dead baby, fever No retreat, another cough, shortness of breath, blood pressure dropped to 80/50, had been diagnosed as “toxic enteritis,” “postpartum sepsis”, “septic shock”, with red, chloramphenicol and blood transfusion. Physical examination: body temperature 38.4 ℃, pulse 100 times, breathing 20 times, blood pressure 100/64. Qi heart, low heart sound blunt. Left lower lung smell scattered and small