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患儿李××,女,两岁半,住院号169888。以发烧、呕吐36小时,于1976年2月20日住我院。36小时前开始发热(39.7℃),咳嗽,呕吐达十余次,非喷射性,呕出物为食物及粘液。精神不振,无抽搐,有嗜睡。在当地卫生室给予“安热静”肌注,口服四环素,症状加重而来我院。患儿一周前曾患“感冒”,经治痊愈。住院十天前及三天前各口服周效磺胺一次,作为流脑预防。体格检查:体湿39.3℃,脉搏118次/分,呼吸32次/分。发育正常,营养尚佳,神志清楚,急性病
Li × × children, female, two and a half, hospital number 169888. To fever, vomiting 36 hours, February 20, 1976 live in our hospital. 36 hours ago, fever (39.7 ℃), cough, vomiting for more than ten times, non-spray, vomit food and mucus. Insanity, no convulsions, drowsiness. In the local health room to give “An Calm” intramuscular, oral tetracycline, symptoms worsened to our hospital. Children suffering from a week ago “cold”, cured by the rule. Ten days before hospitalization and three days before oral administration of sulfonamides once, as the prevention of meningitis. Physical examination: body wet 39.3 ℃, pulse 118 beats / min, breathing 32 beats / min. Normal development, nutrition is still good, conscious, acute disease