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患儿孙××,女,12岁,住院号223302。75年5月6日以高热七天住院。约在6—7天前,家人发现患儿精神不佳,不想吃饭,自诉头晕,无力伴轻度腹疼、腹泻。体温逐日上升。曾在院外使用青、链霉素及解热剂治疗,无明显好转。病程第6天伤寒凝集反应:H1:320,O1:160。住院时体温39.5℃,白细胞计数每立方米4,700,淋巴33%,多核45%,杆状14%,大单核5%,酸球3%。立即送血培养,内服增效磺胺6甲氧嘧啶(TMP—SMM,每片含TMP80毫克;SMM400毫克),首次服3片以后,每24小时服1片,连服10天体温不降,一般情况未见好转。
Children with children × ×, female, 12 years old, hospital number 223302. May 6, 75 to high fever seven days hospitalization. About 6-7 days ago, his family found that children with poor health, do not want to eat, private prosecution dizziness, weakness with mild abdominal pain, diarrhea. Body temperature rises day by day. Had used green, streptomycin and antipyretics in the hospital treatment, no significant improvement. Course of the first 6 days of typhoid agglutination: H1: 320, O1: 160. 39.5 ℃ when hospitalized, white blood cell count 4,700 per cubic meter, lymphatic 33%, 45% multi-core, 14% rod, 5% large single nucleus, acid ball 3%. Immediate delivery of blood culture, oral administration of sulfamethoxazole 6 (TMP-SMM, each containing TMP80mg; SMM400mg), the first service after 3 tablets, every 24 hours to take 1, and even served 10 days body temperature does not fall, the general The situation did not improve.