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患者男,13岁。以发热、恶心、呕吐、伴脐周隐痛7天入院。体检:T39.5℃;P116次/分;R26次/分;BP13/8kPa。神清,表情淡漠,皮肤无玫瑰疹,心肺无异常,脐周压痛,无肌卫,肝肋下2cm,质软,脾未触及,神经系统未引出病理反射。Hb110g/L;WBC11.95×10~9/L,L0.19,E0S 0。肥达氏反应:H1∶320,O 1∶160,付伤寒甲、乙1∶180,丙1∶40,肝功正常。初诊:伤寒。治疗:氯霉素1.0、氨苄青霉素4.0静点,次/日。次日T37℃至38℃,于5pm突然抽搐,口吐泡沫,呈癫痫持续状态,立即上氧,安定
Patient male, 13 years old. To fever, nausea, vomiting, pain with umbilical cord pain 7 days admission. Physical examination: T39.5 ℃; P116 times / min; R26 times / min; BP13 / 8kPa. Shen Qing, expression of indifference, no skin rosacea, no abnormal heart and lung, umbilical tenderness, no muscular, liver ribs 2cm, soft, spleen not touched, the nervous system does not lead to pathological reflex. Hb110g / L; WBC11.95 × 10 ~ 9 / L, L0.19, E0S0. Widal response: H1: 320, O 1:160, pay typhoid A, B 1: 180, C 1:40, normal liver function. New diagnosis: typhoid fever Treatment: chloramphenicol 1.0, ampicillin 4.0 static point, times / day. The next day T37 ℃ to 38 ℃, suddenly convulsions at 5pm, vomiting foam, was status epilepticus, immediately on the oxygen and stability