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患者因劳动后出现柏油样便伴头晕,大汗,无腹痛。诊断:上消化道出血,经某县医院输入新鲜血1500ml治疗,致输血性疟疾,报告如下。1 病历摘要 患者,男,26岁,于1994年6月1日以“发热待查,脾大”收入我院。该患5月1日劳动后出现柏油样便,伴头昏、大汗,在某县医院输新鲜血1500ml,静点甲氰咪胍,止血肪酸2周,症状好转。于5月14日无明显诱因患者自觉不适,发冷,体温升高,最高达41.5℃,口渴思饮,烦燥、寒战,持续约2h后大汗淋漓,体温渐恢复正常。发病前4天均为隔日发作,此后每日均出现上述症状,当地给以庆大霉素、青霉素
As a result of work-like patients with tarry stool with dizziness, sweating, no abdominal pain. Diagnosis: upper gastrointestinal bleeding, by a county hospital input 1500ml of fresh blood treatment, causing bloody malaria, the report is as follows. 1 patient summary of the patient, male, 26 years old, on June 1, 1994 to “fever pending investigation, splenomegaly” income in our hospital. The suffering from labor on May 1 after the appearance of tarry stools, with dizziness, sweating, in a county hospital lost 1500ml of fresh blood, intravenous cimetidine, only 2 weeks of bleeding, the symptoms improved. On May 14 no obvious incentive for patients with conscious discomfort, chills, increased body temperature, up to 41.5 ℃, thirst, drink, irritability, chills, lasted about 2h after sweating, body temperature gradually returned to normal. 4 days before the onset of seizures every other day, after the above-mentioned symptoms occur every day, to gentamicin, penicillin