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患者,男性。34岁,因发热、畏寒、心慌、尿少3天于1989年6月21日入院。入院前患者曾在外院诊治,发现血压低到9/5kPa,心率缓慢:22次/分,曾5次发生阿-斯综合征。诊断为病毒性心肌炎转我院。查体:T39.5℃,Bp10/4kPa,酒醉貌,球结膜充血,顽固性呃逆,全身皮肤有点、片状出血点、鼻出血、腰部叩痛。实验室检查:WBC16×10~9/L,Hb100g/L,血小板63×10~9/L。尿蛋白(++),颗粒管型(+)。Bun39.3mmol/L,Cr243.7μmol/L。心电
Patient, male. 34 years old, due to fever, chills, palpitation, oliguria for 3 days in June 21, 1989 admission. Before admission, the patient had been diagnosed and treated outside the hospital and found that blood pressure was as low as 9 / 5kPa and his heart rate was slow: 22 beats / min. Diagnosis of viral myocarditis to our hospital. Physical examination: T39.5 ℃, Bp10 / 4kPa, drunken appearance, conjunctival hyperemia, intractable hiccups, a little skin, flaky bleeding, epistaxis, percussion pain in the waist. Laboratory tests: WBC16 × 10 ~ 9 / L, Hb100g / L, platelet 63 × 10 ~ 9 / L. Urine protein (++), granular tube (+). Bun39.3 mmol / L, Cr243.7 mol / L. ECG