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病历摘要:患者张××,女,48岁,农民。1982年3月25日右手被家犬咬伤,在当地当即肌注“狂犬疫苗”1支,局部未行特殊处理。患者除伤口处烧灼样疼痛外余无不适。3天后服用斑蝥1克,滑石粉适量,黄酒半斤,10分钟后周身发烧,上腹胀满烧灼样疼痛。随即恶心呕吐胃内容物及咖啡样液体5次,量约1500毫升,并伴有水样便腹泻8次。头痛头晕,流涎口干,吞咽困难、厌食、尿痛尿少。经在当地救治3天,病情渐加重,于4月4日转来本院。
Medical record summary: Zhang × ×, female, 48 years old, farmer. March 25, 1982 right hand was bitten by a dog, immediately in the local “rabies vaccine” intramuscular injection 1, some without special treatment. In addition to burning wounds in patients with pain-free external no discomfort. 3 days after taking Cicada 1 gram, amount of talc, rice wine half a catty, 10 minutes after the whole body fever, abdominal fullness burning burning pain. Then nausea and vomiting stomach contents and coffee-like liquid five times, about 1500 ml, and accompanied by water samples will be diarrhea 8 times. Headache, dizziness, salivation dry mouth, difficulty swallowing, anorexia, urinary pain, urinary less. After 3 days of treatment in the area, the condition gradually aggravated and was transferred to our hospital on April 4.