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诊治过程田某,男,50岁,干部。1997年10月11日、19日、20日、23日先后4次因发热(38℃～39℃)去A医院门诊诊治,医师给予抗生菌治疗后时好时坏。在A院医师的劝说下,田某于1997年10月23日(星期四)以“发热待查”入住A院。入院后,给予常规检查并对症治疗4天(含星期六、日),病因不明,效果不明显。田某及其家属很焦急,私下邀请B医院医师诊视。B院医师发现田某腹部有一红色硬疤,结合田某有外出钓鱼史,则诊断为“恙虫病”;田某家属说该医师认为“这个病只要用几片四环素即可治好”。于是,田某及其家属决定不再在A医院诊治,也不配合抽血检查;于1997年10月27日(星期一)早上7点钟左右未向A医院医务人员请假,擅自步行离开A医院乘车前往B医院。在B医院以“恙虫病”诊断并治疗11天后死于B医院。
Diagnosis and treatment process Tianmou, male, 50 years old, cadres. On October 11, 19, 20, 23, 1997, the hospital went to A Hospital for outpatient treatment 4 times due to fever (38 ℃ ~ 39 ℃). The physician gave good and bad time after antibiotic treatment. Under the persuasion of a hospital physician, Tian Mou admitted to Hospital A on October 23, 1997 (Thursday) with “fever checkup”. After admission, given routine examination and symptomatic treatment for 4 days (including Saturday, day), the cause is unknown, the effect is not obvious. Tian and his family is very anxious, private hospital B invited physician consultation. B hospital physicians found Tianmou abdomen has a red hard scars, combined with a fishing field Tianmou history, then diagnosed as “scrub typhus”; Tian family members said the doctor that “the disease as long as a few slices of tetracycline can be cured ”. As a result, Tianmou and his family members decided not to go to hospital A for treatment and blood tests. On October 27, 1997 (Monday), about 7 o’clock in the morning, they did not take a leave of absence from Hospital A staff and left A The hospital ride to the B hospital. In the B hospital to “scrub typhus” diagnosis and treatment of 11 days died in the B hospital.