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钩端螺旋体病(简称钩体病)肺出血型之中、晚期死亡率高,我们在1981、1983年分别抢救2例,结果1例死亡,1例痊愈,现把抢救病例报道如下。例1 罗××,男性,11岁,学生。因发热、头痛、咳嗽3天,咯血2小时于1981年8月13日上午9时急诊入院。患儿住地为钩体流行区,未接受预防接种.有疫水接触史。于3天前出现畏寒、发热、头痛、咳嗽、全身酸痛,但无呕吐,当地乡村医生诊为“上感”,给服板兰根冲剂,伤风止咳糖浆。因病情渐趋加重,于今日上午7时突然咯鲜红色血约150毫升而来我院急诊。查体:体温38.8℃,脉搏140次,呼吸40次,血压88/52毫米汞柱。急性重病容,神清,
Leptospirosis (referred to leptospirosis) pulmonary hemorrhage among the late high mortality, we rescue two cases in 1981 and 1983, respectively, resulting in 1 case of death and 1 case of recovery, now the rescue case reported as follows. Example 1 Luo XX, male, 11 years old, student. Due to fever, headache, cough for 3 days, 2 hours of hemoptysis on August 13, 1981 at 9 am emergency admission. Children living for the hook body epidemic area, did not receive vaccination. There is a history of exposure to water. 3 days ago chills, fever, headache, cough, body aches, but no vomiting, the local village doctor diagnosed as “flu”, to take service Langen granules, cold cough syrup. Due to the condition getting worse, at 7 am today suddenly slightly bright red blood about 150 ml to our hospital emergency room. Physical examination: body temperature 38.8 ℃, pulse 140 times, breathing 40 times, blood pressure 88/52 mm Hg. Acute serious illness, God clear,