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本文报告疟疾几种特殊临床表现,旨在减少误诊,提高诊断水平。为此略加讨论。例1:男,18岁。发热,右上腹阵发性绞痛2天,查体温38℃,急性痛苦表情,右上腹明显触痛,无肌卫及反跳痛,墨菲氏征阳性,以急性胆囊炎、胆石症住院。给予青、链霉素治疗。入院第4天血检查见疟原虫,抗疟治愈。例2:男,59岁。全身酸痛、头昏乏力、轻咳无痰10天入院。查体温37.5℃,胸透右下肺片状模糊阴影,应用四环索、庆大霉素各1周
This article reports several specific clinical manifestations of malaria, aimed at reducing misdiagnosis and improving the diagnostic level. For this a little discussion. Example 1: Male, 18 years old. Fever, right upper quadrant paroxysmal colic for 2 days, check the body temperature 38 ℃, acute pain expression, the right upper quadrant was tenderness, no muscle and rebound tenderness, Murphy’s sign positive to acute cholecystitis, cholelithiasis hospitalization. Give green, streptomycin treatment. On the 4th day of admission, blood test showed that the parasite was anti-malaria. Example 2: Male, 59 years old. Body aches, dizziness, fatigue, cough without sputum 10 days admitted. Check the body temperature 37.5 ℃, chest right lower lung flaky fuzzy shadow, the application of tetracyclic cable, gentamicin 1 week