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近年来,随着预防工作的加强和抗生素的应用,伤寒的发病率明显下降,其临床表现多不典型.我院1981年收治l例伤寒病人以高热伴精神障碍为特点,现报告如下.谭某,女,19岁,因持续高热lO天,欣快,失眠,言语,动作增多3天,于1981年5月11日入院.病人于第八病日开始阵发性吵闹,多语,多疑,欣快,失眠.人院后病情逐日加重,于第20病日出现幻视、幻听.有被害妄想,精神紧张,恐惧,有时吓得出汗紧抱其母.生活不能自理.个人及家族史无特殊.检查:体温40.3℃,脉搏145次.意识尚消楚,近期记忆较差,定向力、计算力均较差.两
In recent years, with the strengthening of preventive work and the application of antibiotics, the incidence of typhoid fever decreased significantly, the clinical manifestations of atypical cases of l admitted to our hospital in 198 cases of typhoid fever with high fever with mental disorders are reported as follows. A woman, 19 years old, because of sustained high fever lO days, euphoria, insomnia, speech, action increased 3 days, was admitted on May 11, 1981. The patient began paroxysmal noisy, multilingual, and suspicious on the eighth day , Euphoria, insomnia .Human hospital condition is aggravating day by day, on the 20th day appear visual hallucinations, auditory hallucinations .Has murderous delusions, nervousness, fear, and sometimes scared sweat hugged his mother .Life can not take care of themselves. Family history no special .Check: body temperature 40.3 ℃, pulse 145. Consciousness is still Chu, the recent poor memory, orientation, calculation of force are poor. Two