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例1:男,23岁。寒热、身痛6天,恶心呕吐、少尿、鼻衄2天入院。体检:体温37.4℃,脉搏80次,呼吸19次,血压150/110。面浮。球结膜充血水肿。鼻腔鲜血外溢。咽充血、软腭散在出血点。注射部瘀斑。颈软。腹胀、肝脾未触及。两肾区叩击痛(?)。血红蛋白14.0g、红细胞420万,白细胞21400,中性75%,淋巴20%,异淋8%,BPC2.8万。血尿,RBC+++,尿蛋白+++。血BUN100mg%,CO_2-CP36vol%。凝血酶原时间19秒(常人对照15秒)。按重型出血热少尿期处理,病情好转。于第9病日突然出现气促、胸闷。取半卧位张口呼吸每分钟36次。面色苍白、口唇紫绀。
Example 1: Male, 23 years old. Cold and heat, body pain for 6 days, nausea and vomiting, oliguria, epistaxis 2 days admission. Physical examination: body temperature 37.4 ℃, pulse 80 times, breathing 19 times, blood pressure 150/110. Surface floating. Conjunctival congestion and edema. Nasal spilled blood. Pharyngeal hyperemia, soft palate scattered in the bleeding point. Injection Department ecchymosis. Neck soft. Bloating, liver and spleen not touched. Two kidney area percussion pain (?). Hemoglobin 14.0g, erythrocyte 4.2 million, white blood cells 21400, neutral 75%, lymphatic 20%, different leaching 8%, BPC28000. Hematuria, RBC +++, urinary protein +++. Blood BUN100mg%, CO_2-CP36vol%. Prothrombin time 19 seconds (normal control 15 seconds). According to severe hemorrhagic fever oliguria treatment, the condition improved. Suddenly appeared on the 9th day of shortness of breath, chest tightness. Take the semi-recumbent mouth breathing 36 times per minute. Pale, lips cyanosis.