论文部分内容阅读
近年伤寒病的流行有所增加,主要是因为耐药菌株的增加及人口流动频繁,而临床表现为重型伤寒增加,合并症增加;现将本科收治的1例伤寒合并蛛网膜下腔出血、DIC、肾损害、失语误诊情况报告如下。 1 病例介绍 患者男,20岁,学生,因发热、头痛9天,加重伴腹泻、失语4天而于1994年10月12日入院。10月4日受凉后发热、头痛、疲倦,9日起症状加重,伴腹泻,排黄色稀烂便共4次,无粘液血丝伴发音不清、失语,10日高热达40.4℃而送急诊,经用PG及时对症等治疗,热不退,11日腰椎穿刺为血性脑脊液,12日拟“发热待查”收入院。起病后无抽搐、昏迷、
In recent years, the prevalence of typhoid fever has increased, mainly due to increased drug-resistant strains and frequent population movements, while the clinical manifestations of heavy typhoid increased, complications increased; now undergraduate admitted to a typhoid with subarachnoid hemorrhage, DIC , Kidney damage, aphasia misdiagnosis situation report as follows. 1 case description Male patient, 20 years old, students, due to fever, headache for 9 days, aggravated with diarrhea, aphasia for 4 days and was admitted to hospital on October 12, 1994. October 4 cold, fever, headache, fatigue, the symptoms worsen on the 9th, with diarrhea, row of yellow pulpy a total of 4 times, without mucus blood with anacardy, aphasia, fever on the 10th reached 40.4 ℃ and sent emergency PG with timely symptomatic treatment, fever, lumbar puncture on the 11th bloody cerebrospinal fluid, on the 12th to be “fever to be checked” income hospital. No convulsions after onset, coma,