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我院近数年来,每于5～10月间,收治一些发热原因未明病例,症状轻,病程较短,均经1周左右治愈。现将我科1981年系统地观察此类病人,诊断为地方性斑疹伤寒5例报告如下。一、一般资料男8例,女2例,年龄20～40,6月份3例,7月份2例。均居住市区内。二、临床表现起病急骤,突然畏寒或寒战,发热均在38.8℃以上,多为稽留热。伴头晕、头痛,全身酸痛。胃纳欠佳,少数恶心,呕吐,腹泻1例。颜面潮红1例,睑结膜充血2例,腹股沟淋巴结呈黄豆大2例,肝肋下0.5cml例。心肺无特殊,腓肠肌无压痛,均无皮疹及黄疸。
In recent years, our hospital, every 5 to 10 months, admitted to a number of unexplained fever cases, mild symptoms, shorter duration, were cured about 1 week. Now our department in 1981 to systematically observe such patients, the diagnosis of endemic typhus 5 cases are as follows. First, the general information of 8 males and 2 females, aged 20 to 40, 3 cases in June, 2 cases in July. All live in urban areas. Second, the clinical manifestations of sudden onset, a sudden chills or chills, fever were above 38.8 ℃, mostly reserved for heat. With dizziness, headache, body aches. Poor appetite, a few nausea, vomiting, diarrhea in 1 case. 1 case of facial flushing, conjunctival hyperemia in 2 cases, inguinal lymph nodes were 2 cases of soybean, liver ribs 0.5cml cases. No special cardiopulmonary, gastrocnemius no tenderness, no rash and jaundice.