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患流行性出血热(EHF)时,全身各系统均可发生病理生理改变,因此,临床表现复杂,现报告其它疾病误诊为EHF4例。例1:败血症误诊为EHF。 (亻儿)×,男,16岁。因发热、咽痛、腰痛、全身皮肤潮红2天,于1985年3月12日就诊。当地有EHF流行。查体:体温40.3℃。双颌下淋巴结肿大、压痛;眼结膜充血;双侧扁桃腺轻度肿大。肾区叩击痛明显。化验:外周血白细胞19,600/立方毫米,中性粒细胞82％,血小板7.2万/立方毫米。尿蛋白(+)、管
Patients suffering from epidemic hemorrhagic fever (EHF), the systemic system can occur pathophysiological changes, therefore, the clinical manifestations of complex, are reported to misdiagnosis of other diseases as EHF4 cases. Example 1: Sepsis misdiagnosed as EHF. (亻 children) ×, male, 16 years old. Due to fever, sore throat, back pain, body skin flushing 2 days, on March 12, 1985 treatment. EHF is popular locally. Physical examination: body temperature 40.3 ℃. Submandibular lymph nodes, tenderness; conjunctival hyperemia; bilateral tonsil mild enlargement. Kidney area percussion pain significantly. Laboratory: peripheral blood leukocytes 19,600 / cubic mm, 82% of neutrophils, platelets 72,000 / cubic millimeter. Urine protein (+), tube