男,40岁,发热,乏力,尿黄5天。患者5天前因发热,乏力、食欲减退在本村卫生室拟诊“感冒”治疗无效。第五天出现高热,头晕、胸闷、周身乏力,尿黄似浓茶水,恶心,厌油,谵妄,遂来我院。既往健康,无肝炎病史。检查:体温40.5℃,颜面潮红,表情淡漠,巩膜轻度黄染,咽部轻度充血,颈软,心率稍快,无杂音。双肺闻及支气管呼 Male, 40 years old, fever, fatigue, urinary yellow 5 days. Patients 5 days ago because of fever, fatigue, loss of appetite in the village clinic to be diagnosed “cold” treatment is invalid. The fifth day of fever, dizziness, chest tightness, whole body fatigue, urine like thick tea, nausea, tired of oil, delirium, then to our hospital. Past health, no history of hepatitis. Check: body temperature 40.5 ℃, facial flushing, apathy, mild yellow stained sclera, pharyngeal mild congestion, neck soft, slightly faster heart rate, no noise. Lung smells and bronchial call