一、临床资料患者刘云,女,11岁。主因发烧11天,腹痛7天入院。体温39.5℃且持续不退,头痛、微咳、有痰量少。一周前出现上腹痛、恶心,呕吐非喷射性。在当地应用“青霉素”,“双黄连”静点,烧渐退,咳嗽减轻,但腹痛无明显好转而入院检查。诊为:上呼吸道感染,伤寒不除外。给予氨苄青霉素2.02/日,氧氟沙 First, the clinical data Liu Yun, female, 11 years old. Mainly due to fever for 11 days, abdominal pain, 7 days admission. Body temperature 39.5 ℃ and sustained remission, headache, cough, sputum less. Appear a week ago upper abdominal pain, nausea, vomiting non-jet sex. In the local application of “penicillin”, “Shuanghuanglian” static point, burning retreat, cough reduced, but no significant improvement in abdominal pain and admission examination. Diagnosis: Upper respiratory tract infection, typhoid fever is not excluded. Give ampicillin 2.02 / day, ofloxacin