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患者女性,26岁,于1963年7月19日因发烧20天昏迷一天入院。患者于入院前20天曾因发烧来本院门诊按一般感冒处理,以后病情逐渐加重。患者家中有兰个小孩都发烧,其中一个因伤寒住本院小儿科治疗。入院时体温40℃,脉搏110,呼吸20,血压85/40,半昏迷,表情呆滞呈重病容,烦躁不安,四肢躁动,谵语,呻吟,不能回答问话。皮肤无黄染,胸前部有7、8个暗褐色皮疹,压之不退色。右侧大腿有鸡蛋大两块青色血斑,浅层淋巴结未触及。瞳孔等大同圆,对光反射良好,口唇皲裂,齿龈出血,口腔粘膜糜烂,舌淡红无苔。
Patient Female, 26 years old, admitted to hospital on July 19, 1963 with a coma for 20 days with fever. 20 days before admission to patients with fever to hospital outpatient treatment by the general cold, the condition gradually aggravated. There are blue children in patients with fever at home, one of our pediatric hospital for typhoid fever treatment. The body temperature at admission 40 ℃, pulse 110, breathing 20, blood pressure 85/40, semi-unconscious, sluggish expression was seriously ill, irritability, restless limbs, brawl, moan, can not answer questions. The skin is yellow-tinged, with 7, 8 dark brown rashes on the chest, with no fading. The right thigh egg two large blue blood spots, superficial lymph nodes not touched. Pupils and other Datong circle, a good light reflection, chapped lips, bleeding gums, oral mucosal erosion, pink tongue without moss.