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患者,男,42岁,因发热、头痛、腰痛5天,尿色如浓茶,村卫生室给以氨苄青霉素、甘露醇静滴,病情无好转,于1994年3月20日入院。查体:体温39.8℃,血压正常,神志清,精神不振,面部潮红,眼球结膜无充血、水肿,颈部稍抵抗,心肺无异常,双肾区叩击痛,双侧巴彬斯基氏征(±)。实验室检查:血常规、血小板无异常,尿常规:蛋白少许,红细胞(++),白细胞少许。初步诊断为流行性出血热(以下简称EHF)。入院后给以清热解毒,预防性
The patient, male, 42 years old, was admitted to hospital on March 20, 1994 due to fever, headache, back pain for 5 days, urine color such as concentrated tea, and village clinic giving ampicillin and mannitol intravenously. Examination: body temperature 39.8 ℃, normal blood pressure, delirious, lack of energy, facial flushing, conjunctival hyperemia, edema, neck slightly resistance, no abnormal heart and lungs, perineal area percussion pain, bilateral Babinski’s sign ±). Laboratory tests: blood, no abnormal platelets, urine: a little protein, red blood cells (++), a little white blood cells. Initial diagnosis of epidemic hemorrhagic fever (hereinafter referred to as EHF). Give detoxification after admission, preventive