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患者男,43岁,工人。高热五日,体温持续在39℃左右,无咳嗽、流涕、轻度咽痛,扁桃腺I°肿大,无脓性分泌物;饮食欠佳,二便正常,于发病初始静滴抗生素及清热解毒制剂治疗,并口服退热剂,疗效甚微。体格检查:体温38.7℃、脉搏100次/分、呼吸32次/分、血压110/80mmHg,意识清,精神欠佳,营养发育良好,发热面容,颈软,咽充血,扁桃体I°肿大,无脓性分泌物,双肺呼吸音粗,无干、湿性罗音,心率100次/分,心音有力,律齐,未闻及明显的杂音;腹软,肝脾未触及,
Male patient, 43 years old, worker. High fever on the 5th, the body temperature continued at about 39 ℃, no cough, runny nose, mild sore throat, tonsil I ° enlargement, no purulent secretions; poor diet, two will be normal, initial onset of intravenous antibiotics and Qingrejiedu treatment, and oral antipyretics, with little effect. Physical examination: body temperature 38.7 ℃, pulse 100 beats / min, breathing 32 beats / min, blood pressure 110 / 80mmHg, clear consciousness, poor health, well-developed nutrition, facial heat, neck soft, pharyngeal congestion, No purulent secretions, lung breath sounds coarse, dry, wet rales, heart rate 100 beats / min, heart sound strong, law Qi, no smell and obvious noise; abdomen soft, liver and spleen not touched,