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恙虫病并发消化道出血者少见,现将本院近年所遇4例报道如下.例1:男42岁,农民.因发热伴上腹部隐痛不适10天.恶心呕吐2天,于1991年9月14日入院.体检:T38.8℃,BP12/8kPa.躯干部可见暗红色斑丘疹,右骼脊可见直径1.5cm椭圆形焦痂,浅表淋巴结肿大,轻度触痛.心肺听诊正常,中上腹部轻度触痛,肝脾未及.实验室检查:Hb113g/L,WBC5.8×10~9/L,NO.58,L0.42,血小板计数79×10~9/L.肝肾功能正常,大便潜血+++.外斐反应1:640.胃镜检查示十二指肠球部片状
Scrub typhus complicated by gastrointestinal bleeding are rare, now the hospital in recent years, 4 cases are reported as follows.Example 1: male, 42 years old, due to fever with abdominal pain discomfort for 10 days.Nauseous vomiting for 2 days, in September 1991 On the 14th, hospitalization: Physical examination: T38.8 ℃, BP12 / 8kPa. Dark red rash appeared in the trunk area, oval eschar with a diameter of 1.5cm on the right spine, superficial lymph nodes, mild tenderness, Mild tenderness in the middle and upper abdomen, liver and spleen not. Laboratory tests: Hb113g / L, WBC5.8 × 10 ~ 9 / L, NO.58, L0.42, platelet count 79 × 10 ~ 9 / L. Liver Normal renal function, fecal occult blood +++. Fife reaction 1: 640. Gastroscopy showed duodenal bulb flake