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1 病例报告例1,男,10岁。因发热伴双眼球结膜出血2天入院。无眼外伤史。查体:体温38℃,脉搏110次/min,呼吸26次/min。全身皮肤无皮疹,双眼球结膜可见片状出血,咽红,颈软,心肺腹无异常。外周血WBC9×10~9/L,中性0.83,嗜酸性粒细胞为0,血小板90×10~9/L。血培养:伤寒杆菌生长。根据药敏选用头孢三嗪、痢特灵治疗,患儿持续发热(体温波动于38℃～39℃),1周后,体温逐渐下降到正常范围,双眼结膜出血也吸收消失,住院20天痊愈出院。
1 case report 1, male, 10 years old. Due to fever with binocular conjunctiva bleeding 2 days admitted. No eye injury history. Physical examination: body temperature 38 ℃, pulse 110 beats / min, breathing 26 times / min. No skin rash of the whole body, bilateral conjunctiva visible flake bleeding, throat, neck soft, no abnormal heart and lung abdomen. Peripheral blood WBC9 × 10 ~ 9 / L, neutral 0.83, eosinophil 0, platelets 90 × 10 ~ 9 / L. Blood culture: typhoid bacilli growth. According to drug sensitivity selection ceftriaxone, furazolidone treatment, children with persistent fever (body temperature fluctuations in the 38 ℃ ~ 39 ℃), 1 week later, the body temperature gradually dropped to the normal range, binocular conjunctival hemorrhage also absorbed disappear, 20 days of hospital recovery Discharged.