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患者王某,女性,29岁。病程六天,因发烧神倦,纳差,腹胀,无力,头昏,水样腹泻(3~4次/日),突然昏倒急诊入某医院。白细胞1200/mm~3,肥达氏反应:“H”1:320,“O”1:320,拟诊“伤寒”,于80年1月14日转入我院。体检:体温39℃,脉搏120次/分,呼吸40次/分,急性重病容,贫血外观,未见皮疹,心肺(一),肝脾未触及,红细胞320万/mm~3,白色素9.8克。入院后即按重症伤寒治疗,鼻饲TMP、SMZ,痢特灵,肌注氨苄青霉素等及支持疗法。三天后复查红细胞230万/mm~3,血色素
Patient Wang, female, 29 years old. The course of six days, due to fever tired, anorexia, abdominal distension, weakness, dizziness, watery diarrhea (3 to 4 times / day), suddenly fainted in a hospital emergency. White blood cells 1200 / mm ~ 3, Widal reaction: “H” 1: 320, “O” 1: 320, to be diagnosed “typhoid fever”, on January 14, 1980 into our hospital. Physical examination: body temperature 39 ℃, pulse 120 beats / min, breathing 40 beats / min, acute severe disease, anemia appearance, no rash, cardiopulmonary (a), liver and spleen not touched, erythrocyte 3.2 million / G After admission by critical typhoid treatment, nasal feeding TMP, SMZ, furazolidone, intramuscular ampicillin and other supportive therapy. Three days after the review of 2.3 million red blood cells / mm ~ 3, hemoglobin