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女,3岁,不规则发烧20天于1988年9月2日入院,轻咳,精神欠佳,烦躁不安,起病后明显消瘦。查体:T39.2℃,营养稍差,全身浅表淋巴结不肿大,咽(-),双肺呼吸音粗糙,未闻及干湿性啰音,心率快,腹稍膨隆,肝肋下2.5cm,质中,脾肋下2cm。入院时化验:血:血红蛋白8.5g％,白细胞14300/mm~3,中性80％,淋巴40％,尿:蛋白(+)红细胞(++),白细胞(+);大便常规(-);肥达氏反应:O1/320(+),H1/640(+),乙1/80。胸透正常。入院诊断:伤寒。入院后给予氨苄青霉素静滴,TMP口服,及支持治疗。化验检查:血
Female, 3 years old, irregular fever 20 days in hospital on September 2, 1988, light cough, poor health, irritability, after the onset of significant weight loss. Examination: T39.2 ℃, slightly less nutritious, systemic superficial lymph nodes are not swollen, pharynx (-), lung breath sounds rough, unheard and wet and dry rales, fast heart rate, slightly bulging belly, liver ribs 2.5cm, quality, spleen ribs 2cm. Admission assay: blood: 8.5g% hemoglobin, white blood cells 14300 / mm ~ 3, 80% neutral, lymphatic 40%, urine: protein Widal reaction: O1 / 320 (+), H1 / 640 (+), B 1/80. Thoracotomy normal. Admission diagnosis: typhoid fever. After admission to give ampicillin intravenous infusion, TMP, and supportive treatment. Laboratory tests: blood