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1 病历摘要 男患,27岁,农民,因头部外伤12天,间断寒战、高热6天,于1994年3月24日来我院就诊。该患于12天前被人用刀砍伤头部,在当地镇医院住院治疗,伤后6天起无明显诱因每于近中午开始寒战、高热,体温达39℃以上,持续2小时左右,体温下降。间隔期无自觉症状。该患祖籍山东,当地曾有疟疾流行,其母于1962年患过疟疾,1976年迁至吉林省梨树县,该患于1991年回老家居住1年,既往无类似病史。查体除左颞顶有两处已愈合伤口,未见阳性体征。胸透、尿常规均未见异常。于发作高峰体温达39℃以上时末梢血涂片检查见有较多疟原虫存在,诊断为疟
1 medical record male suffering, 27 years old, farmer, due to head injury for 12 days, intermittent chills, fever for 6 days, in March 24, 1994 to our hospital. The patient was chopped 12 days before the head with a knife in hospital treatment in the local town hospital, 6 days after injury no obvious incentive for every near noon start chills, fever, body temperature of 39 ℃ above, for about 2 hours, Body temperature drops. Interval without symptoms. The ancestral origin of Shandong, the local malaria epidemic, the mother had malaria in 1962, 1976 moved to Lishu County, Jilin Province, the patient returned to his hometown in 1991 for 1 year, with no previous history. In addition to examination of the left temporal roof has two healed wounds, no positive signs. Chest throat, urine were normal. Peak temperature in the onset of 39 ℃ or more when the peripheral blood smears showed more Plasmodium there, the diagnosis of malaria