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张××,女性,25岁,住院号61321。因持续发热,咽痛40天于1985年4月14日入院。患者起病时即感畏寒,高热40℃,次晨出汗热退,此后发热持续不退,且感咽痛,并发现咽部白色膜状物。曾予每日氯霉素1g 静滴、青霉素80万u、链毒素1g 肌注,共用药1周,体温下降,咽痛缓解,咽部膜状物减少。半月前上述症状再发,体温39℃,咽痛加剧,咽部伪膜增多,拟诊白喉而转本院诊治。体格检查:贫血中毒貌,扁桃体Ⅱ°肿大,咽及扁桃体表面可见白色膜状物,心肺无殊,肝未及,脾肋下3cm,
Zhang × ×, female, 25 years old, hospital number 61321. Due to persistent fever, sore throat 40 days in April 14, 1985 admission. When the patient started feeling chills, fever 40 ℃, the next morning sweating fever retreat, after fever continued flattening, and the sense of sore throat, and found pharyngeal white film. Once per day chloramphenicol 1g intravenous infusion of penicillin 800000 u, chain toxin 1g intramuscular injection, a total of 1 week, body temperature decreased, sore throat relief, pharyngeal membrane decreased. Half a month before the recurrence of the symptoms, body temperature 39 ℃, sore throat aggravate pharynx pseudomembranous increased, diphtheria to be diagnosed and transferred to hospital for treatment. Physical examination: Anemia poisoning appearance, tonsil Ⅱ ° enlargement, pharynx and tonsils visible white film, no cardiopulmonary, liver and spleen 3cm,