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病例摘要例1:女,18岁,住院号5765。发冷发热伴关节痛七个月。于1978年7月12日收入院。患者于1977年12月受凉后发冷发热38℃以上,颌下淋巴结肿大,用抗菌素稍好转。1978年1月再次发病高热伴嗓子痛。周身关节痛,经用抗菌素治疗无明显效果。2月份上述症状加重,体温持续在38~40℃之间,曾诊断为风湿热,应用水杨酸钠,肾上腺皮质激素病情缓解。同年6月份体温高达42℃,住某医院疑败血症、红斑狼疮,继续应用抗菌素后并用激素未见好转,转来我院。
Case Summary Example 1: Female, 18 years old, hospital number 5765. Cold fever with joint pain for seven months. In July 12, 1978 income court. Patients in December 1977 after chills and fever over 38 ℃, submandibular lymph nodes, slightly modified with antibiotics. January 1978 fever again with sore throat. Whole body joint pain, no significant effect after treatment with antibiotics. In February the above symptoms increased, body temperature continued between 38 ~ 40 ℃, has been diagnosed as rheumatic fever, the application of sodium salicylate, adrenal hormones remission. In the same year in June the body temperature up to 42 ℃, a hospital suspected of sepsis, lupus, continue to use antibiotics and hormone did not improve, transferred to our hospital.