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患儿赵婷婷、女、1岁、住院号125531,住院日期:84年6月27日。主因:二月来持续高烧、伴轻咳、烦躁哭闹,精神欠佳,食欲不振,自幼无汗、在外院按“病毒感染”肌注安痛定、青、链霉素、以及服中药二十余付、高烧仍持续不退,以病毒肺炎收住院治疗。患儿为第一胎,足月顺产,母乳喂养,略加辅食,1岁仍不会坐,接种过卡介苗、百白破及麻疹疫苗。患儿出生5天(83年6月)曾出现过无明显原因的高热、无汗、曾在外院治疗16天,诊断不明,因高热不退,自动出院,一年来经常间断性发烧,无伴随症状,用任何药物不能使体温恢复正常,每次发烧持续时间较长。一年来未患过肝炎、麻疹、结核、百日咳等疾患,无食物、药物过敏史,无传染病接触史,父母非近亲结婚,家族中无遗传病史,入院后查体:T39℃、P130次/分、R30次/分、W7.5
Zhao Tingting children, female, 1 year old, hospital number 125531, hospitalization date: June 27, 84. The main reason: in February to continue high fever, with light cough, irritability, crying, poor health, loss of appetite, no sweat since childhood, according to “virus infection” intramuscular injection of analgesic, blue, streptomycin, and serving Chinese medicine More than twenty pay, the fever is still flat, with pneumonia admitted to hospital for treatment. Children with first birth, term full-term, breastfeeding, supplemented with a little food, 1 year old still will not sit, vaccinated against BCG, diphtheria and measles vaccine. Children born 5 days (June 83) had no obvious reason for fever, no sweat, had treatment in the outpatient hospital for 16 days, the diagnosis is unknown, due to high fever, discharged automatically, a year often intermittent fever, without accompanying Symptoms, with any drug can not make the body temperature returned to normal, longer duration of each fever. The past year has not suffered from hepatitis, measles, tuberculosis, whooping cough and other diseases, no food, drug allergy history, no history of exposure to infectious diseases, non-relatives of parents marry without family history of genetic disease, admission examination: T39 ℃, P130 times / Points, R30 beats / min, W7.5