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患者,女性,45岁,既往无特殊病史。入院前10天因进食鱼苦胆后感腹痛、恶心、呕吐。病后5天,出现腹胀。眼睑及下肢浮肿,少尿,排尿困准,并排“柏油样”大便两次。在当地医院治疗,病情进行性加重,转来我院。入院体检:体温38.8℃,脉搏92次/分,呼吸22次/分,血压13/8kPa,神清,强迫屈曲体位,急性痛苦病容,面色苍白,无皮诊及皮下出血点,皮肤巩膜无黄染,眼睑浮肿,
Patient, female, 45 years old, with no previous history of any specific medical condition. 10 days before admission due to eating fish after suffering from abdominal pain, nausea, vomiting. 5 days after the illness, there abdominal distension. Eyelid and lower extremity edema, oliguria, dysuria, side by side “tarry” stool twice. In the local hospital for treatment, progressive aggravating disease, transferred to our hospital. Admission physical examination: body temperature 38.8 ℃, pulse 92 beats / min, breathing 22 beats / min, blood pressure 13 / 8kPa, Shen Qing, forced flexion position, acute pain, pale, no skin examination and subcutaneous bleeding, scleral no yellow Dyed, eyelid edema,