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例1:重型急性血吸虫病误诊为肠结核患者,男,34岁,农民。发热、逐渐消瘦、解粘血便3月余,伴畏寒、出汗。发热以下午和晚上为重,最高达40℃。粘液血便每天4～6次,有里急后重感。先后在村卫生所、县医院、省医院按“肠结核”治疗80天病情无改善,最后疑为“血吸虫病”转送本站治疗。体检:体温39.5℃,急性病容,面色苍白,消瘦。心、肺无异常。肝肿大剑下5厘米,质中、有压痛,脾未触及。末梢血检查:红细胞180万/立方毫
Example 1: Severe acute schistosomiasis misdiagnosed as intestinal tuberculosis patients, male, 34 years old, farmer. Fever, weight loss, Xieyou blood more than 3 months, with chills, sweating. Fever in the afternoon and evening as heavy, up to 40 ℃. Mucus bloody 4 to 6 times a day, a tenesmus heavy sense. Successively in the village clinics, county hospitals, provincial hospitals according to “intestinal tuberculosis” 80 days without improvement of the disease, and finally suspected “schistosomiasis” referral treatment. Physical examination: body temperature 39.5 ℃, acute disease, pale, thin. Heart, lungs without exception. Liver swelling under the sword 5 cm, quality, tenderness, spleen not touched. Peripheral blood examination: red blood cells 1.8 million / cubic milliliter