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患者女,11岁,住院号13192。因持续性发热9天伴恶心、呕吐、头痛、腹痛在外诊治无效,于1986年6月9日以伤寒收入院。检查:T40℃,p96次,R24次,Bp90/60,急性热病容,表情淡漠,神清合作,视力正常,心肺(—),肝脾来扪及,余无特殊。实验室检查:Hb11.5克,WBC5800,N56,L44,EC O/mm~3,二便正常。血清肥达氏反应:“O”1:640,“H”1:640。血培养:检出伤寒杆菌。按伤寒治疗:抗菌素丁胺卡那霉素0.4克/d肌注,住院14天后,病情明显好转,于退热后第11天患儿突然抽搐,两眼斜视,持
Female patient, 11 years old, hospital number 13192. 9 days due to persistent fever with nausea, vomiting, headache, abdominal pain in the out-patient treatment, in June 9, 1986 to typhoid fever income hospital. Check: T40 ℃, p96 times, R24 times, Bp90 / 60, acute fever, expression indifference, Shenqing cooperation, normal vision, cardiopulmonary (-), liver and spleen to palpable, I no special. Laboratory tests: Hb11.5 grams, WBC5800, N56, L44, EC O / mm ~ 3, two will be normal. Serum fat Darth reaction: “O” 1: 640, “H” 1: 640. Blood culture: detected typhoid bacillus. According to the typhoid fever treatment: antibiotic amine amikacin 0.4 g / d intramuscular injection, 14 days after hospitalization, the condition was significantly improved in the first 11 days after fever in children with sudden convulsions, strabismus, both strabismus