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伤寒为临床常见传染病之一,基本病变在肠道,但全身各系统器官均能受累,而出现多种并发症,常见的如心肌炎、肠出血、肠穿孔等。笔者遇到一例少见的,以发热、鼻衄为首发症状,损伤造血器官,并发重度血小板减少的伤寒病例,报告如下。患者,男,24岁,农民,病历号4534。患者自6月2日起持续发热,体温高达40℃,6月13日出现腹部脐周痛,排水样便每天5
Typhoid fever is one of the common clinical infectious diseases. The basic lesion is in the intestine, but the systemic organs of the whole body can be affected. A variety of complications such as myocarditis, intestinal hemorrhage and intestinal perforation are common. The author encountered a rare case of fever, epistaxis as the first symptom, damage to hematopoietic organs, complicated by severe thrombocytopenia of the typhoid cases, the report is as follows. Patient, male, 24 years old, farmer, medical record number 4534. Patients from June 2 onwards continued fever, body temperature up to 40 ℃, June 13 abdomen abdominal pain, drainage, it will be 5 per day