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患者男性,22岁,四川籍战士,司机。1979年2月2日14时曾卧雪修车约2时,受冻身寒、耳廓轻度冻伤,是夜恶寒。次日卧床不起,体温39—41℃,持续不退,乏力加重。曾肌注柴胡、复方奎宁注射液各1支。5月16日以发热待查收住内科。既往健康。病前15日在某林区堆满杂草的破屋中留宿一夜,无昆虫叮咬。检查:体温40℃,呼吸20次,脉搏105次,血压120/70。右胸及上肢各有2个2毫米直径的红色丘疹,压之退色。血红蛋白15.5克,白细胞2万,中性81%。血沉2毫米。肥达反应、肝功、血培养均正常。给青、链霉素治疗。6日高热40.5℃,颜面、颈,胸部皮肤潮红持续12小时后消失。
Male patient, 22 years old, Sichuan native soldier, driver. At 0200 hours on February 2, 1979, he slept in the snow at about 2 o’clock. He was suffering from freezing cold and mild frostbite of his ear. Bedridden the next day, body temperature 39-41 ℃, persistent, fatigue worse. Have intramuscular injection of Bupleurum, quinine compound injection 1 each. May 16 with fever to be admitted to the internal medicine. Past health. 15 days before sickness in a forest full of weeds in the house overnight stay, no insect bites. Check: body temperature 40 ℃, breathing 20 times, pulse 105 times, blood pressure 120/70. Right chest and upper extremity each have 2 mm diameter red papules, pressure of the fade. Hemoglobin 15.5 grams, 20,000 leukocytes, neutral 81%. ESR 2 mm. Wanda response, liver function, blood culture were normal. Give green, streptomycin treatment. On the 6th heat 40.5 ℃, face, neck, chest skin flushing disappeared after 12 hours.