论文部分内容阅读
患者,男,31岁。因发热、头痛、腰痛、眼眶痛4天,于1994年4月11日以流行性出血热(下称出血热)收入院。平素身体健康。查体:体温40℃,脉搏76次/分,血压12/9kPa,神志清楚,醉酒貌,面部及胸前皮肤潮红,两腋下出血点呈条索状,眼结膜水肿,软腭有散在出血点,心肺未见异常,两肾区明显叩击痛。Hb148g/L,WBC15×10~9/L,NO.60,L0.40,有异常淋巴细胞,PC30×10~9/L,尿蛋白++++,尿RBC++,尿糖(-)。入院后给予低分子右旋檐酐,5％碳酸氢钠,5％葡萄糖氯化钠,病毒唑,地塞米松等治疗。病情一度好转,体温降至正常,尿量增多,但出现恶心,纳差。第6日患者尿量达4500ml/24h,晚7时感口渴明显,嗜睡,神志恍惚。急查
Patient, male, 31 years old. Due to fever, headache, back pain, orbital pain for 4 days, on April 11, 1994 to epidemic hemorrhagic fever (hereinafter referred to as hemorrhagic fever) income hospital. Normal physical health. Physical examination: body temperature 40 ℃, pulse 76 beats / min, blood pressure 12 / 9kPa, conscious, drunk appearance, face and chest skin flushing, two underarm bleeding was cord-like, conjunctival edema, soft palate scattered scattered points , No abnormal heart and lung, two perineal area percussion pain. Hb148g / L, WBC15 × 10 ~ 9 / L, NO.60, L0.40, with abnormal lymphocytes, PC30 × 10 ~ 9 / L, urinary protein ++++, urine RBC ++, urine sugar (-). Admitted to low molecular right Dian Dian Dian anhydride, 5% sodium bicarbonate, 5% glucose sodium chloride, ribavirin, dexamethasone and other treatment. Condition was improved, body temperature dropped to normal, increased urine output, but nausea, anorexia. The amount of urine on the 6th day of patients reached 4500ml / 24h, 7:00 pm thirst, obviously sleepy, trance. Urgent investigation