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患者女,54岁。因“低热纳差”2天于1995年7月入院。无畏寒、午夜出汗、腹痛、腹泻及贫血。查体:体温37.8℃,脉搏82次/分,血压110/75mmHg;未见扁桃体肿大;两肺呼吸音正常;心腹无异常;肝脾未触及肿大。白细胞10.3×10~9/L,中性粒细胞0.75,淋巴细胞0.25。胸片示正常。初步诊断:上呼吸道感染。予抗炎、抗病毒及对症支持治疗5天后症状未见缓解,转上一级医院治疗。其后仅有低热,查心电图正常,抗“O”正常,肥达氏反应(一),肝肾功能、电解质均正常。住院对症治疗1周后,症状无缓解,查血吸虫环卵沉降率试
Female patient, 54 years old. Because of “low fever and poor ” 2 days in July 1995 admitted. No chills, sweating at midnight, abdominal pain, diarrhea and anemia. Physical examination: body temperature 37.8 ℃, pulse 82 beats / min, blood pressure 110 / 75mmHg; no tonsil enlargement; lungs breath sounds normal; no abnormal heart; liver and spleen did not touch the enlargement. Leukocytes 10.3 × 10 ~ 9 / L, neutrophils 0.75, lymphocytes 0.25. Chest X-ray showed normal. Initial diagnosis: upper respiratory tract infection. To anti-inflammatory, anti-virus and symptomatic supportive treatment 5 days after the symptoms have not been alleviated, turn to a hospital for treatment. After that, only low fever, check electrocardiogram normal, anti- “O ” normal, Widal reaction (a), liver and kidney function, electrolytes were normal. Hospital symptomatic treatment after 1 week, no symptoms, check schistosome ring egg deposition rate test