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患者女,48岁.因发热23天、伴失语、右侧肢体偏瘫5小时于1989年1月20日入院.入院前23天开始发热,体温高时达40℃,食欲不振,曾在当地卫生院用“青链霉素”治疗,入院前1天来我院,疑伤寒给予氯霉素口服并观察,次日晨醒来起床时,不能言语.右上下肢麻木无力,无头痛、呕吐、抽搐及晕厥,无大小便失禁,血肥达氏试验报告H1∶320,O 1∶320,既往无高血压、心脏病及手术史.体检:T38.2℃,P86次/分,R18次/分,BP12.3/8kPa,神志清,皮肤无出血点,浅表淋巴结无肿大,心脏无异常,腹平软,肝肋下2 cm,脾未及,神经系统:运动性失语,皱额对
The woman, aged 48, was fever-induced for 23 days with aphasia and right limb hemiplegia for 5 hours and was admitted on January 20, 1989. Hemorrhagic fever started 23 days before admission and reached 40 ° C when the body temperature was high, with loss of appetite and local hygiene Hospital with “streptomycin” treatment, 1 day before admission to our hospital, suspected typhoid given chloramphenicol orally and observe the next morning woke up, unable to speak .Night upper and lower limb numbness, without headache, vomiting, convulsions And syncope, no incontinence, blood fat Darth Test report H1: 320, O 1: 320, no previous history of hypertension, heart disease and surgery. Physical examination: T38.2 ℃, P86 times / min, R18 beats / min , BP12.3 / 8kPa, conscious mind, skin no bleeding point, superficial lymph nodes without swelling, no abnormal heart, abdominal soft, liver ribs 2 cm, spleen and nervous system: motor aphasia,