发热.贫血.粒细胞减少

• 作 者: 杨友利 张玉玲
• 机 构: 河南周口地区人民医院内科,河南周口地区人民医院内科 466001,466001
• 出 处: 中国基层医学
• 发表日期: 1995年S1期
• 关键词: 粒细胞减少 扁桃体化脓 肛周 骨髓像 粒细胞缺乏 再障 口腔枯膜 二重感染 非造血细胞 变态反应原

1 病历资料 患者,男,31岁,以咽痛,发热半月余,加重4d入院。半月前受凉后出现咽痛,低热。按牙周炎给予四环素2片tid×3d无效。咽痛加重,且双扁桃体化脓体温升至38.5C,改用青霉素800万~u/d,静点×8d,10d前出现肛周痛,4d前肛周痛加重,体温高达39C,改用“氨苄青霉素”6g/d静点,庆大霉素保留灌肠2次/d×3d,肛周痛消失,咽痛加重,体温持续大于39C;

A patient data, male, 31 years old, with sore throat, fever more than a month, aggravating 4d admission. Half a month ago after sore throat, fever. According to periodontitis given tetracycline 2 tid × 3d invalid. Pharyngolaryngitis increased, and double tonsillectomy pus temperature rose to 38.5C, penicillin to 8 million ~ u / d, static point × 8d, 10d before anal perianal pain, anal pain before 4d aggravating, body temperature up to 39C, switch to “ Ampicillin ”6g / d static point, gentamicin enema enema 2 times / d × 3d, perianal pain disappeared, sore throat aggravated, body temperature continued to be greater than 39C;