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病历摘要徐××,男,23岁,上海县农民,1980年12月19日入院。发热六天,体温波动在39°～40℃,伴头痛,咽痛、咳嗽、腰痛、全身疼痛。发病第三天出现上腹胀痛伴呕吐,每日4～5次,腹泻每日2～3次,糊状,无粘血,尿量减少,无尿频尿急。胃纳明显减退。病程第三至第五天,因高热不退,当地医生曾给予四环素、青霉素及退热针每日一次。用药后出汗多,第七病日热
Medical summary Xu × ×, male, 23 years old, Shanghai County farmer, December 19, 1980 admitted to hospital. Fever six days, body temperature fluctuations in 39 ° ~ 40 ℃, with headache, sore throat, cough, back pain, body aches. The third day of onset of abdominal pain accompanied by vomiting, 4 to 5 times daily, diarrhea 2 to 3 times a day, paste, no blood viscosity, decreased urine output, urinary frequency urgency. Appetite decreased significantly. During the third to fifth days of the course, the local doctors gave tetracycline, penicillin and antipyretics once daily because of the high fever. Sweating after treatment, the seventh day fever