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患者张××,女,35岁,工人。因发热、腹泻、咳嗽20余日,于1972年7月25日住院。患者于20多天前突有畏寒、发热,体温每日临晚升至高峰,半夜自退,退时伴有大汗,每天发作,持续至今。同时伴有轻度咳嗽、腹痛及腹泻,无里急后重。入院前一周每天解稀大便2~3次,曾连续服合霉素5天未见效。以后又服黄连素等多种药物都无效。患病以来胃纳减退。患者过去身体健康。同年5月下旬曾到沿江浅水芦滩上采苇叶三次,每次约2~3小时。回家后下肢有痒感,并见有少数红色小疹子,二天后自愈。体格检查:体温39℃,脉搏84次/分,呼吸22次/分。急性病容,消瘦,神志清楚。无黄疸或皮疹。
Zhang × × patients, female, 35 years old, workers. Due to fever, diarrhea, cough for more than 20 days, July 25, 1972 hospitalization. More than 20 days before the patient had chills, fever, body temperature daily rose to its peak, late at night, retreat accompanied by sweating, a daily attack, continues today. Accompanied by mild cough, abdominal pain and diarrhea, no tenesmus. A week before admission to dilute the stool 2 to 3 times a day, once consecutive serving of coimycin 5 days no effect. After taking berberine and other drugs are invalid. Since the illness has deteriorated. In the past, the patient was in good health. In the same year in late May had to reed along the river shallow reed three times, each about 2 to 3 hours. After going home, itchy legs and see a small number of red rash, self-healing after two days. Physical examination: body temperature 39 ℃, pulse 84 beats / min, breathing 22 beats / min. Acute illness, weight loss, conscious. No jaundice or rash.