论文部分内容阅读
伤寒患者玫瑰疹较多见,但类似败血症样全身皮疹较少见。现将我院收治一例报告如下。患者男性,19岁,住院号:202776。因持续发热伴腹泻十余天,神志恍惚三天入院。入院前一直饮用生水,曾服黄连素止泻两天,以后未用任何药物。既往无结核及预防接种史。体查体温39.3℃,脉搏108次,呼吸26次,血压10/7kpa。神志恍惚,反应迟钝。无欲貌,消瘦,营养差。皮肤无化脓灶。胸背腹及双上肢皮肤满布淡红色及暗红色充血疹,直径2～3mm,疹间皮肤正常。心肺无异常。腹软,肝脾未触及。颈软,神经系统无异常发现。实验室检查:WBC3.2×10~9/L,N0.60,L0.38
Typhoid roseola more common, but similar sepsis-like whole body rash is rare. Now admitted to our hospital a case report is as follows. Male patient, 19 years old, hospital number 202776. Due to persistent fever with diarrhea more than ten days, trance admitted to hospital for three days. Drinking water has been drinking before admission, had served berberine diarrhea two days, after not using any drugs. Past history of tuberculosis and vaccination. Body temperature 39.3 ℃, pulse 108 times, breathing 26 times, blood pressure 10 / 7kpa. Trance, unresponsive. No desire for appearance, weight loss, poor nutrition. No purulent skin lesions. Thoracodorsal and upper extremity skin covered with light red and dark red rash, diameter 2 ~ 3mm, rash skin normal. No abnormal heart and lung. Abdomen soft, liver and spleen not touched. Neck soft, no abnormalities found in the nervous system. Laboratory tests: WBC3.2 × 10 ~ 9 / L, N0.60, L0.38