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男孩,3个月,于1962年9月28日因腹泻5天,断续发烧4天入院。患儿子5日前即起腹泻,日约5～6次,为黄色稀水便,无粘液与脓血,食欲减退,食后常有呕吐。腹泻次日随伴发烧,热度常在中午突然升高,每次发热4～5小时后出汗退热,起初2天每日发作一次,此后隔日一次。发热时除小孩表现烦躁不安外无其它特殊症状。病后曾在某医院注射青霉素2次(共20万单位)无效,故来就诊。患儿平素健康,既往除患过腹泻外未得过其它疾病,也无出血与皮肤现青柴块病史。家中父母健在,无出血疾病史。邻近曾有“疟疾”发生。查体:体温36.8℃,发育营养佳良,精神稍差。前囱约1×1.5厘米,平坦,舌被白苔,咽微充血,颈软,全身浅淋巴结不肿大,心肺无异常,腹部柔软,肝下缘在肋下2厘米,质软,脾下界在肋下3厘米,表面光滑,质
Boy, 3 months, on September 28, 1962 due to diarrhea 5 days, intermittent fever 4 days admitted to hospital. Suffering from his son 5 days before diarrhea, about 5 to 6 times a day, for the yellow watery stool, no mucus and purulent blood, loss of appetite, often vomiting after eating. Diarrhea accompanied by fever the next day, the heat often suddenly rose at noon, each fever 4 to 5 hours after sweating fever, the first two days of the first attack, once every other day. In addition to fever when children show irritability no other special symptoms. After the illness in a hospital injection of penicillin 2 times (a total of 200,000 units) is invalid, so the treatment. Children generally healthy, except in the past had suffered other than diarrhea disease, no bleeding and skin are green Chai block history. Family parents alive, no bleeding history. There was “malaria” in the immediate vicinity. Physical examination: body temperature 36.8 ℃, good nutrition and development, slightly less mental. Front chimney is about 1 × 1.5 cm, flat, tongue is white moss, pharyngeal micro-congestion, neck soft, systemic superficial lymph nodes is not enlarged, no abnormal heart and lungs, abdomen soft, lower edge of liver in the ribs 2 cm, soft, spleen lower bound In the ribs 3 cm, the surface is smooth and qualitative