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患男,16岁。以发热、腰痛8d,尿少2d,于1989年11月9日入院。8d 前出现发冷发热,体温高达40℃,在某县医院住院6d,不见好转,出现低血压休克,经升压药维持转我院。既往体健。查体:T36.8℃P120次/minR 30次/min BP 14/6kPa。急性危重病容,神智不清,烦躁谵语,重度贫血貌。全身皮下水肿,有多处淤血斑,皮肤穿刺抽血部位渗液不止。球结膜充血,淤血斑,水肿Ⅰ(?),口
Male, 16 years old. To fever, back pain 8d, oliguria 2d, on November 9, 1989 admission. 8d before the onset of chilly fever, body temperature up to 40 ℃, hospitalized in a county hospital 6d, did not improve, there was hypotension shock, the vasopressor was maintained in our hospital. Past physical health. Physical examination: T36.8 ℃ P120 times / minR 30 times / min BP 14 / 6kPa. Acute critically ill patients, delirious, annoyed, severe anemia appearance. Body subcutaneous edema, there are multiple congestion spots, skin puncture bleeding site more than exudate. Bulbar conjunctival congestion, congestion spots, edema Ⅰ (?), Mouth