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1.感冒与流感型一些出血热病人以显著的上呼吸道症状与发冷发烧,全身酸痛极似感冒或流感。如一例男患者,25岁。因发冷发热头疼,全身不适伴鼻出血4天入院。体检:体温37.5℃、心肺、(-)、腹部(-);白细胞7×10~9/L,中性0.7淋巴0.28,酸性0.02;尿常规(-)。诊为流感。入院后第二天出现腋下及胸前针尖大小出血点,尿蛋白(+),确诊为轻型出血热。 2.伤寒型出血热病人的热程比较长(5～8日)长者可达10～12日。国内外有报道1例长期发热(持续27日),病情严重死亡。我们在临床中见到1例发热持续15天患者。按伤寒病治疗,病情不佳。经
1. Cold and flu type Some patients with hemorrhagic fever with significant upper respiratory symptoms and chills fever, body aches like a cold or flu. For example, a male patient, 25 years old. Fever headache due to chills, generalized discomfort with nosebleed 4 days admitted. Physical examination: body temperature 37.5 ℃, cardiopulmonary (-), abdomen (-); white blood cells 7 × 10 ~ 9 / L, neutral 0.7 lymph 0.28, acid 0.02; Diagnosed as flu. The next day after admission, the size of the underarm and chest tip bleeding point, urine protein (+), diagnosed as mild hemorrhagic fever. 2. typhoid hemorrhagic fever patients with longer heat (5 to 8) elderly up to 10 to 12 days. One case reported long-term fever at home and abroad (on the 27th), the serious case of death. We see 1 patient in the clinical fever for 15 days. Treated by typhoid fever, poor condition. through