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患者、女、60天,病案号:31990,因腹泻、发烧一周于83年12月29日入院。患儿早产20天,人工喂养。入院后持续发烧达39℃,中度脱水,大便每日6到10次,为黄绿色粘液糊状便,有特殊臭味,阵发腹胀痛,并伴脱肛;肝脾大。入院后 Hb 渐降至6g%。红血球184万/mm~3,WBC5万/mm~3,周围血中出现幼粒,幼红细胞,网织红细胞4.5%。骨髓象呈现增生,粒红比例增高,并有幼稚细胞成熟停滞现象。肥达氏反应两次均阴性结果。入院疑诊:消化不良,沙门氏菌感染(鼠伤寒)?予抗感染,补液,支持等治疗。多次反复送检大便培养,于入院12天两次大便培养出鼠伤寒杆菌。最后诊
Patient, female, 60 days, case number: 31,990, due to diarrhea, fever a week in December 29, 83 admission. Premature children with 20 days, artificial feeding. Persistent fever after admission up to 39 ℃, moderate dehydration, stool 6 to 10 times a day for the yellow-green mucus paste, a special smell, paroxysmal abdominal pain, and with the anus; liver and spleen. Hb decreased to 6g% after admission. Erythrocytes 1.84 million / mm ~ 3, WBC5 / mm ~ 3, prominence of peripheral blood cells, erythroblasts, reticulocytes 4.5%. Bone marrow showed hyperplasia, increased proportion of grainy, and maturity of naive cells stagnation phenomenon. Widal reaction twice negative results. Admission suspected: indigestion, Salmonella infection (typhoid fever)? Anti-infective, rehydration, support and other treatment. Repeatedly seized stool training repeatedly, stool in the 12 days of admission to cultivate Salmonella typhimurium. Final consultation