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病历摘要 男,10岁,学生。因畏寒发热14天,于1981年9月13日下午4时入院。入院前14天起有不规则发热,体温在39～40℃之间,每天热前有畏寒,热时伴头痛,热退出汗,起病以来无咳嗽、吐痰、外伤及感染等,亦无尿频尿急及尿痛。病中食欲差,大便干结,小便正常,曾在当地经中西药治疗无好转。 第二胎,足月平产,出生后六个月医生发现心脏有杂音,经常发热,活动后气促,七岁开始念书,成绩中等,当年夏季曾患过头疖,父母亲身体健康,非近亲结婚,母孕期间无特殊,家族中否认有传染病及类似病史。入院时体查:体温40℃,脉搏
Medical summary Male, 10 years old, student. Due to chills and fever for 14 days, on September 13, 1981 at 4 pm admission. There are irregular fever 14 days before admission, body temperature between 39 ~ 40 ℃, a day before the heat chills, fever with headache, heat sweating, since the onset of no cough, spit, trauma and infection, etc. Urinary frequency urinary urgency and dysuria. Poor appetite in the disease, dry stool, normal urine, had no improvement in the local treatment of Western medicine. The second child, full-term pregnancy, six months after birth, the doctor found a heart murmur, frequent fever, shortness of breath after activities, began studying at the age of seven, middle school students, who had suffered from headache in summer, parents healthy, non-cousins Married, no special during pregnancy, the family denied having infectious diseases and similar medical history. Physical examination at admission: body temperature 40 ℃, pulse