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病例摘要患者,女性,20岁,未婚、学生、汉族,山东省汶上县人。主诉:发热、头痛、全身痛11小时,于84年5月19日来我院就诊。现病史:患者入院前11小时,无明显诱因出现持续高热、达39℃以上,并伴有寒战、头痛、全身酸疼、乏力、恶心、呕吐一次,呕吐物为胃内容物,无血液。曾在当地卫生院治疗,给卡那霉素、强的松、安乃近等药物,治疗无效。立即来我院门诊,当时体温39℃、血压60/40。以感染性休克收入住院。既往史:既往健康、未曾外出。家族史:无家族性遗传病史。
Case Summary Patient, female, 20 years old, single, student, Han nationality, Wenshang County, Shandong Province. Chief Complaint: Fever, headache, generalized pain for 11 hours, came to our hospital on May 19, 1984. Current history: 11 hours before admission, there was no obvious cause of persistent high fever, reaching 39 ℃ above, and accompanied by chills, headache, body aches, fatigue, nausea, vomiting once, vomit for the stomach contents, no blood. Has been in the local hospital for treatment, to kanamycin, prednisone, analgin and other drugs, treatment ineffective. Immediately to our hospital, was 39 ℃ temperature, blood pressure 60/40. In septic shock income hospitalization. Past history: past health, never go out. Family history: No family history of genetic disease.