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我院自1978年8月至10月,共收治了登革热患者144例,属于重症登革热6例,占4.16%。其中主要表现为牙龈出血,鼻衄与阴道出血1例,消化道大出血2例、腹腔出血1例,蛛网膜下腔出血1例和脑型登革热1例。为了吸取经验,提高对本病的诊治水平,现报告与讨论如下。病例报告例一:女性,45岁,干部,1978年9月8日下午8时入院。9月7日晚上3时许突然畏寒,随后高热,剧烈头痛,周身肌肉痛,骨关节痛,倦怠,有时腹痛,胃口甚差。8日牙龈出血。体格检查:体温40.2℃,脉博92次/分,呼吸24次/分,血压120/74,急性热病容,
In our hospital from August 1978 to October, a total of 144 cases of dengue patients were admitted, belonging to 6 cases of severe dengue fever, accounting for 4.16%. One of the main manifestations of bleeding gums, epistaxis and vaginal bleeding in 1 case, 2 cases of gastrointestinal bleeding, abdominal bleeding in 1 case, 1 case of subarachnoid hemorrhage and cerebral dengue fever in 1 case. In order to learn from experience and improve the diagnosis and treatment of this disease, the report and discussion are as follows. Case Report Case 1: Female, 45 years old, cadre, September 8, 1978 8:00 pm admission. September 7 at 3 pm suddenly chills, followed by fever, severe headache, whole body muscle pain, bone and joint pain, fatigue, and sometimes abdominal pain, poor appetite. 8 days bleeding gums. Physical examination: body temperature 40.2 ℃, pulse Bo 92 / min, breathing 24 beats / min, blood pressure 120/74, acute fever,