论文部分内容阅读
女患,24岁。因发热头痛腰痛5天,神志不清3天以“流行性出血热”(EHF)收住院,停经9个月。查体:T36.7℃,Bp18/9kPa,浅昏迷,双腋下及前胸部可见出血点。左前臂有大块瘀斑。双瞳孔等大,约3mm。颈软,心肺(-),肝脾未及,宫底脐上两指。双下肢无浮肿,未引出病理反射。化验:血Hb100g/L,WBC12.4×10~9/L,N0.74,L0.26,PC72×10~9/L。尿蛋内(++)。肝功:ALT:200U,ZnTT正常,HBsAg(-)。EHF荧光抗体(+)。入院诊断:EHF合并晚期妊娠。给予脱水剂、平衡盐液等治疗。入院第3天神志转
Female suffering, 24 years old. Fever headache for 5 days due to fever, confusion 3 days to “epidemic hemorrhagic fever” (EHF) admitted to hospital, menopause 9 months. Physical examination: T36.7 ℃, Bp18 / 9kPa, shallow coma, double underarm and chest visible bleeding. Left forearm has a large ecchymosis. Double pupil and so on, about 3mm. Neck soft, cardiopulmonary (-), liver and spleen is not, the uterus at the end of two fingers. No lower extremity edema, did not lead to pathological reflex. Assay: Blood Hb100g / L, WBC12.4 × 10 ~ 9 / L, N0.74, L0.26, PC72 × 10 ~ 9 / L. Urine eggs (++). Liver function: ALT: 200U, ZnTT normal, HBsAg (-). EHF fluorescent antibody (+). Admission diagnosis: EHF with late pregnancy. Give dehydration agent, salt and other balanced treatment. On the 3rd day of admission, consciousness turns