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患者男,21岁。因高热头痛9天,巩膜皮肤黄染5天,于1989年5月9日入院。患者于10余天前因受凉后,感无力、纳差,全身不适;2日后开始发热,体温达40℃,头痛,无寒颤、呕吐、腹痛、腹泻等。在某医院诊为“伤寒”,住院治疗高热不退,巩膜皮肤出现黄染以“伤寒并肝炎”转入我院。体检:T40℃,P84,BP13.3/9.3kPa,急性发热病容,表情淡漠,贫血貌,巩膜皮肤轻度黄染,浅表淋巴结无肿大,心肺正常。腹软,肝肋下刚扪及,脾肋下2Cm。质Ⅱ°。血像:Hb73g/L,WBC2.3×
Patient male, 21 years old. 9 days due to high fever headache, scleral skin yellow dye 5 days, on May 9, 1989 admitted. Patients in the more than 10 days due to cold, flu, anorexia, general malaise; 2 days after the onset of fever, body temperature up to 40 ℃, headache, chills, vomiting, abdominal pain, diarrhea and so on. In a hospital diagnosed as “typhoid fever”, hospital treatment hyperactivity, scleral skin yellow dye “typhoid and hepatitis” into our hospital. Physical examination: T40 ℃, P84, BP13.3 / 9.3kPa, acute fever, apathy, anemia appearance, scleral mild yellow skin, no superficial lymph nodes, normal heart and lung. Abdomen soft, liver palpable just palpable, spleen ribs 2Cm. Quality Ⅱ °. Blood: Hb73g / L, WBC2.3 ×