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例一、杨××,男性,32岁,学院动物房工人,住院号22703,1981年1月5日入院。患者于入院前5天突感畏寒、寒战,继而发热,体温38~39℃之间,伴纳差、恶心、乏力、腹胀。第3病日出现眼睑浮肿、尿少,而于第5病日收入院。患者从事饲养小白鼠工作。病前未去外地本市无出血热病人。体检:体温38℃,脉搏98次/分,呼吸25次/分,血压150/100毫米汞柱,酒醉貌,眼睑浮肿,球结膜充血水肿,咽充血,软腭见出血点,两腋下条索状出血点,心肺正常,腹部正常,两肾区无明显叩痛。实验室检查:血白细胞6900/立方毫米,中性80%,淋巴20%,血红蛋白15克%,血小板9万/立方毫米;尿蛋白?,红细胞?,白细胞少量,比重1012。胸透示左侧胸腔少量积液。入院后诊断流行性出血热发热期,采用以平衡盐液为主的综合治疗,并用复方丹参16毫升静滴每日一
Example 1, Yang × ×, male, 32 years old, college animal room workers, hospital number 22703, January 5, 1981 admission. Patients admitted to hospital 5 days suddenly chills, chills, then fever, body temperature 38 ~ 39 ℃, with anorexia, nausea, fatigue, bloating. The 3rd day appeared eyelid edema, less urine, and in the 5th day of admission income hospital. Patient engaged in keeping mice working. Before the disease did not go to the city without hemorrhagic fever patients. Physical examination: body temperature 38 ℃, pulse 98 beats / min, breathing 25 beats / min, blood pressure 150/100 mm Hg, drunken appearance, eyelid edema, conjunctival congestion and edema, pharyngeal congestion, soft palate see bleeding, Cord-like bleeding point, normal heart and lungs, normal abdomen, two kidney area no obvious percussion pain. Laboratory tests: white blood cells 6900 / cubic millimeter, 80% neutral, lymphatic 20%, hemoglobin 15 grams, platelets 90,000 / cubic millimeter; urinary protein ?, red blood cells, small white blood cells, the proportion of 1012. Chest revealed a small amount of fluid on the left chest. After admission, the diagnosis of epidemic hemorrhagic fever during the heat, using balanced salt solution-based comprehensive treatment, and compound Salvia 16 ml intravenously daily