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患者女,42岁,口服双效灵200ml,呕吐2次。嗜睡,1小时入院。查体:T38.5℃,P84次/分,BP(?)4.6/9.3kPa。神志清,表情淡漠。皮肤于,无黄疸。巩膜无黄染,瞳孔等大4mm。双肺清,心律齐,心率84次/分。腹软,肝、脾肋下未及,检验:Hb110g/L,RBC4.1×10~(12)/L,WBC19×10~9/L。诊断:急性双效灵中毒。入院8小时出现寒战、高热、腹痛,体温39.5℃,24小色尿体温39.8℃,巩膜、皮肤出现黄疸,尿呈酱油状胞检验:Hb40g/L,RBC1.4×10~(12)/L,WBC19×10~9/L,BC0.035,外周血中见破碎红细胞。尿蛋白((?)),尿潜血((?)),直接胆红素:总胆
Female patient, 42 years old, oral dual effect 200ml, vomiting 2 times. Sleepiness, 1 hour admission. Physical examination: T38.5 ℃, P84 times / min, BP (?) 4.6 / 9.3kPa. Conscious, expression indifferent. Skin in, no jaundice. Sclera no yellow dye, pupils and other large 4mm. Clear lungs, heart rate Qi, heart rate 84 beats / min. Abdominal soft, liver, spleen and ribs under the test, test: Hb110g / L, RBC4.1 × 10-12 / L, WBC19 × 10-9 / L. Diagnosis: acute double effect poisoning. 8 hours after admission, chills, fever and abdominal pain occurred. Body temperature was 39.5 ℃. The temperature of 24 hours urine was 39.8 ℃. Sclera and skin appeared jaundice. Urine was detected in soya urine. Hb40g / L and RBC1.4 × 10-12 / L , WBC19 × 10 ~ 9 / L, BC0.035, see broken blood cells in peripheral blood. Urinary protein ((?)), Urinary occult blood ((?)), Direct bilirubin: total gall