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女性,45岁,职工。因发热、腹痛、腹泻、呕吐1d,于1990年12月9日入院。入院前1d上午始感发热、周身不适,1h后出现呕吐、进而神志不清,大小便失禁,急诊入我院。既往体健。病前2d曾食变质食物。检查:体温40℃,脉搏110/min,呼吸30/min,血压8/0kPa(60/0mmHg)。一般情况差,神志不清,呈休克状态。皮肤,巩膜无黄染,全身皮肤未见出血点。口唇干燥,颈无抵抗。心律齐,未闻及杂音,肺无啰音。腹软,无肌紧张,肝脾未触及。神经系统检查未见异常。化验检查:白细胞12×10~9/L,中性粒细胞0.92,淋巴细胞0.08;血钾3.0mmol/L、血钠128mmol/L、血氯102mmol/L。CO_2结合力18mmol/L。粪便常规红细胞(+++),脓细胞(++),查见吞噬细胞。尿常规正常。
Female, 45 years old, worker. Due to fever, abdominal pain, diarrhea, vomiting 1d, on December 9, 1990 admission. 1d before admission, feeling fever, unwell, vomiting after 1h, and then unconsciousness, incontinence, emergency into our hospital. Past physical health. 2d before eating sick metamorphosis food. Check: body temperature 40 ℃, pulse 110 / min, breathing 30 / min, blood pressure 8 / 0kPa (60 / 0mmHg). The general situation is poor, unconscious, was shocked. Skin, Sclera no yellow dye, no bleeding in the whole body skin. Dry lips, neck without resistance. Qi heart, no smell and noise, the lungs without rales. Abdominal soft, no muscle tension, liver and spleen not touched. Nervous system examination showed no abnormalities. Laboratory tests: white blood cells 12 × 10 ~ 9 / L, neutrophils 0.92, lymphocytes 0.08; serum potassium 3.0mmol / L, sodium 128mmol / L, blood chlorine 102mmol / L. CO_2 binding 18mmol / L. Fecal routine erythrocytes (+++), pus (++), see phagocytic cells. Urine routine normal.