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患者女,41岁。因畏寒、持续高热、乏力、纳减20余天,在当地医院经“氯霉素、庆大霉素”等药物治疗无效住本院。体检:T40℃,P90次,R20次,BP110/70。精神萎,无欲貌,心肺无异常,肝脾肋下未触及,上腹偏右轻压痛,无反跳痛及肌紧张,无叩击痛,肠鸣音稍活跃。肥达氏反应O、H均为1:640,入院后二次血培养报告:分离出伤寒沙门氏菌。对氟哌酸、丁胺卡那敏感;对氯霉素、氢苄青霉素等耐药。
Female patient, 41 years old. Due to chills, continued high fever, fatigue, reduced by more than 20 days, in the local hospital by “chloramphenicol, gentamicin” and other drug treatment invalid hospital. Physical examination: T40 ℃, P90 times, R20 times, BP110 / 70. Spirit wilting, no desire to look, no abnormal heart and lung, liver and spleen ribs did not touch the lower abdomen right tenderness, no rebound tenderness and muscle tension, no percussion pain, bowel sounds slightly active. Widal reaction O, H are 1: 640, after admission two blood culture report: Salmonella typhi isolated. Norfloxacin, amikacin sensitivity; resistance to chloramphenicol, ampicillin and other.