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女性患者,住院号28470,17岁,江苏扬州人。因高热4天伴神志昏迷而于1975年9月17日急诊收院.现病史:入院前一周,右侧额部起一疖肿,无发热疼痛感,未引起重视。1—2天后患者用未经消毒的针刺破并用手挤压,未见脓液流出而只有少量血液,又用未经消毒的布条包扎伤处。入院前6天,患者将伤口处布条打开,发现有脓液,其母帮助将脓挤出,约1—2天,患者开始畏寒高热伴伤口处红肿疼痛,当地医院给用青霉素80万单位肌注,一日2次,并用退热剂等,未见疗效,病情却越来越重。除高热外,头痛剧烈,有时呕吐与抽搐,入院前一
Female patient, hospitalization 28470, 17 years old, Yangzhou, Jiangsu. Due to fever for 4 days with delirious and emergency September 17, 1975 admitted to hospital. History of illness: a week before admission, the right frontal boils from a boil, no fever pain, did not pay attention. After 1-2 days, the patient was punctured with an unsterile needle and squeezed by hand. No pus flowed but only a small amount of blood and the wound was covered with non-sterile cloth. 6 days before admission, the patient will open the wound at the cloth and found pus, the mother helps to pus extrusion, about 1-2 days, the patient began chills fever with swelling and pain at the wound, the local hospital to use penicillin 800,000 Unit intramuscular injection, 2 times a day, and with antipyretics, etc., no effect, the condition is getting heavier and heavier. In addition to high fever, severe headache, sometimes vomiting and convulsions, before admission