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我部驻地是流行性出血热高发地区,近5年共收治100例出血热病人,在救治的过程中遇到1例在多尿期出现高血压脑病。现报告如下。男性,30岁,农民。因发热、头痛、腰痛伴腹痛、恶心、呕吐6d。在当地给予抗生素及对症治疗无好转,病情日渐加重、尿量减少。于1991年12月20日13时以流行性出血热入传染科。既往无高血压及抽搐病史。体格检查体温37.2℃,脉搏86/min,血压16.0/12.0kpa(120/90mmHg),急性重病容,神志清。体查合作、全身皮肤粘膜无出血点、浅表淋巴结不肿大,球结膜无充血水肿、咽部充血、颈软,心肺正常,腹部平软,左右中腹部压痛阳性,无反跳痛,肝脾未触及,肠鸣音正常,双侧肾区叩痛阳性,双下肢无水肿,生理反射存在,病理反射未引
The resident of our department is endemic to areas with high incidence of epidemic hemorrhagic fever. In the recent 5 years, a total of 100 cases of hemorrhagic fever patients were treated. During the treatment, one case of hypertensive encephalopathy was found during polyuria. The report is as follows. Male, 30 years old, farmer. Due to fever, headache, back pain with abdominal pain, nausea, vomiting 6d. In the local antibiotics and symptomatic treatment without improvement, the condition is getting worse, decreased urine output. At 1900 on December 20, 1991, epidemic hemorrhagic fever was sent to the infectious disease department. No previous history of hypertension and convulsions. Physical examination Body temperature 37.2 ℃, pulse rate 86 / min, blood pressure 16.0 / 12.0kpa (120 / 90mmHg), acute serious illness, conscious mind. Physical examination cooperation, systemic skin and mucous membrane without bleeding, superficial lymph nodes are not enlarged, bulbar conjunctiva without congestion and edema, throat congestion, neck soft, normal heart and lungs, abdominal soft, about mid-abdominal tenderness, no rebound tenderness, liver Spleen not touched, normal bowel sounds, bilateral renal area knocking pain positive, no lower extremity edema, the presence of physiological reflexes, pathological reflex not cited