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患者 ,女 ,5岁 ,因持续高热 9天入院。入院当天诉右下腹痛 ,体检 :T40℃ ,P12 0次 /分 ,心肺正常 ,肝右肋下 1.5cm,脾未扪及 ,右下腹压痛 (+ )。血 WBC7.4× 10 9/ L,血培养检出伤寒杆菌。按伤寒予以氯霉素治疗。住院第 3天下腹痛及压痛缓解 ,但体温不降。住院第 8天全腹阵发性
Patient, female, 5 years old, admitted to hospital for sustained high fever for 9 days. Right lower abdominal pain on admission day, physical examination: T40 ℃, P12 0 beats / min, normal heart and lung, liver right rib 1.5cm, spleen not palpable, right lower quadrant tenderness (+). Blood WBC7.4 × 10 9 / L, blood culture detected typhoid bacillus. According to typhoid chloramphenicol treatment. On the 3rd day of hospitalization, abdominal pain and tenderness were relieved, but body temperature did not drop. The first 8 days of hospitalized abdomen paroxysmal