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患者,男,32岁。因不规则发烧,精神不振,乏力,上腹疼痛、呕吐1周入院。查体:体温38-29℃,脉搏100次/min,呼吸20次/min,血压10.0/8.0kPa。神清,周身无发疹,双肺呼吸音正常,心脏未见异常,肝脾未触及,胆囊区明显压痛及叩击痛,腹无移动性浊音,神经系未见异常。WBC1.8×10~9/L,中性0.74,淋巴0.26,便常规正常。X 线胸片正常。B超胆囊急性炎症改变。经抗炎治疗10天病情无好转,病情大致如前。此时检验肥大氏反应(+),血培养为伤寒杆
Patient, male, 32 years old. Due to irregular fever, lack of energy, fatigue, abdominal pain, vomiting 1 week admission. Physical examination: body temperature 38-29 ℃, pulse 100 beats / min, breathing 20 beats / min, blood pressure 10.0 / 8.0kPa. Clear, the whole body no rash, lungs breath sounds normal, no abnormal heart, liver and spleen not touched, gallbladder area tenderness and percussion pain, abdominal no shifting dullness, no abnormalities in the nervous system. WBC1.8 × 10 ~ 9 / L, neutral 0.74, lymph 0.26, it is normal. X-ray normal. B super gallbladder acute inflammation change. After 10 days of anti-inflammatory treatment did not improve the condition was roughly as before. At this point test hypertrophy response (+), blood culture for the typhoid rod