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病历摘要患者女性,26岁,已婚,农民,安徽省和县人。因持续高热8天,胡言乱语、神志不清6天.于1982年10月4日收入病房诊治。患者在半月前足月分娩一女婴(当地公社医院)。入院前8天自觉全身不适、畏寒,继之发热(当时未测体温),自认为“感冒”,服生姜糖水,出汗多,体温稍降。翌日晨又觉畏寒、发热,伴腹部阵痛,解黄色稀便带粘液共10余次,到当地公社医院就诊,测体温39℃,给四环素1g,加氢化考的松100mg,静脉滴注;并口服氯霉素6片、痢特灵2片,肌注安乃近1支,腹泻很快停止,体温亦降达正常。但20小时后又觉发热(38.5～40.5℃),持续不退。发病第3日发
Patient Summary Female patient, 26 years old, married, peasant, Anhui province and county. Due to sustained high fever for 8 days, nonsense, confusion 6 days. October 4, 1982 income ward diagnosis and treatment. The patient gives birth to a baby girl in full term half a month (local commune hospital). 8 days before admission consciously unwell, chills, followed by fever (when not measured body temperature), consider themselves “cold”, take ginger syrup, sweating more, body temperature slightly lower. The next morning and felt chills, fever, with abdominal pain, solution of yellow loose stool with mucus a total of more than 10 times to the local commune hospital for treatment, measured body temperature 39 ℃, to tetracycline 1g, hydrocortisone 100mg, intravenous infusion ; And oral chloramphenicol 6 tablets, 2 tablets of furazolidone, intramuscular injection of anaphyx nearly 1, diarrhea quickly stopped, body temperature also dropped to normal. But after 20 hours and then feel fever (38.5 ~ 40.5 ℃), continuous non-refundable. On the 3rd day of onset