病历摘要患者,女,17岁,学生。因不规则发热,肝区及上腹痛、黄疸、乏力1个月,于1988年1月9日入院。自1987年12月初不规则发热、乏力、盗汗,体温38.5℃左右,伴发冷无寒战,下午加重。曾按上感、胃炎、肝炎治疗无效。1987年12月25日因发热20余天持续不退住县医院。用青、链、氨苄青、红、庆大霉素治疗19天,病情加重,每日体温37.5—40.2℃,弛张热型。因诊断不明转来我院。既往无特殊病史。体格检查:T38.4℃,P140次/分,R25次/分,BP120/84mmHg,精神差,表情淡漠,被动体位。贫血貌,全身皮肤重度黄染、水肿。浅表 Patient summary, female, 17 years old, student. Due to irregular fever, liver and upper abdominal pain, jaundice, fatigue for 1 month, January 9, 1988 admission. Since early December 1987 irregular fever, fatigue, night sweats, body temperature 38.5 ℃ or so, with cold chills, afternoon aggravate. According to the sense of the gastritis, hepatitis treatment is invalid. December 25, 1987 due to fever more than 20 days continued to rebuff the county hospital. With green, chain, ampicillin, red, gentamicin for 19 days, aggravating, daily body temperature 37.5-40.2 ℃, remission type. Unknown to our hospital for diagnosis. No special medical history. Physical examination: T38.4 ℃, P140 times / min, R25 times / min, BP120 / 84mmHg, poor spirit, expression indifferent, passive position. Anemia appearance, systemic yellowish skin, severe edema. Superficial