论文部分内容阅读
患者,女,24岁。因发热3天精神失常1天收住。既往体健,无类似病史,家族中无精神病史。T42.2℃,P84次,R24次,BP14.7/8.0kPa,神志不清,烦躁不安,言语多且对答不切题;余检均正常。入院后给予氨基青霉素、痢特灵,甲氧基氨嘧啶(TMP)等药物,经治疗3天后精神症状减轻,体温有下降。血肥达氏反应H>1:20、O>1:160。甲<1:3。乙<1:40,血培养防寒杆菌(+),确诊为伤寒,继续上述药物治疗,体温渐降至正常,精神恢复正常,痊愈出院,
Patient, female, 24 years old. 3 days due to fever mental disorders 1 day admitted. Past physical health, no similar history, family history of no mental illness. T42.2 ℃, P84 times, R24 times, BP14.7 / 8.0kPa, unconsciousness, restlessness, many words and answers to the question; the remaining tests were normal. After admission aminopenicillin, furazolidone, methoxy pyrimidine (TMP) and other drugs, after treatment for 3 days to reduce the mental symptoms, body temperature decreased. Blood fat Darth reaction H> 1:20, O> 1: 160. A <1: 3. B <1:40, blood culture cold bacillus (+), diagnosed as typhoid fever, continue the drug treatment, body temperature gradually decreased to normal, the spirit returned to normal, discharged,