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病历摘要患者,女,41岁,农民。于1988年10月2日起畏寒发热,体温逐渐上升,继而持续在38.5～39.5℃。头痛,疲乏,精神差,上腹饱胀,食少,偶而恶心、呕吐,大便时干时稀。10月18日解血便500g。乡卫生院诊为伤寒并发肠出血,给予输血、补液、氯霉素(静脉和口服,其剂量不详)等治疗,体温降至正常5天停药。11月9日再次畏寒发热4天,伴轻度干咳、心慌、乏力、腹胀、纳差,稀便,于1988年11月14日入院。体检:体温39.2℃,脉搏105次,呼吸24次,血压13.33/9.07kPa(100/68mmHg),急性热病容,
Patient history, female, 41 years old, farmer. From October 2, 1988 chills and fever, body temperature gradually increased, and then continued at 38.5 ~ 39.5 ℃. Headache, fatigue, poor spirit, abdominal fullness, food less, occasionally nausea, vomiting, stool dry thin. October 18 will be 500g Xie Xie. Township hospitals diagnosed as typhoid complicated with intestinal bleeding, given blood transfusion, rehydration, chloramphenicol (intravenous and oral, the dose is unknown) and other treatment, body temperature dropped to normal 5 days withdrawal. November 9 chills and fever again 4 days, with mild dry cough, palpitation, fatigue, bloating, anorexia, loose stools, in November 14, 1988 admission. Physical examination: body temperature 39.2 ℃, pulse 105 times, breathing 24 times, blood pressure 13.33 / 9.07kPa (100 / 68mmHg), acute fever,