A previously fit 63-year-old woman presented drowsy, breathless, and hypotensive. Observations revealed a fever (38.6°C), hypoglycemia (2.2 mmol/L), hypotension (84/55 mmHg), and atrial fibrillation (140 bpm). Arterial blood gas demonstrated a metabolic acidosis (pH 7.19, lactate 11.4) with significant hypoxia. Laboratory investigations showed hemoglobin 144 g/L, white cell count 2.3 X 109/L, neutrophil count 1.9 X 109/L, and platelet count 9 X 109/L. The activated partial thromboplastin time and prothrombin time were prolonged, along with a depressed fibrinogen level, in keeping with disseminated intravascular coagulation
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机译：先前健康的63岁女性出现困倦，呼吸困难和血压降低。观察发现发烧（38.6°C），低血糖（2.2 mmol / L），低血压（84/55 mmHg）和房颤（140 bpm）。动脉血气显示代谢性酸中毒（pH 7.19，乳酸盐11.4），伴有明显的缺氧。实验室检查显示血红蛋白144 g / L，白细胞计数2.3 X 109 / L，中性粒细胞计数1.9 X 109 / L，血小板计数9 X 109 / L。与弥散性血管内凝血保持一致，激活的部分凝血活酶时间和凝血酶原时间延长，纤维蛋白原水平降低
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