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患儿,男,11月,住院号102995。因反复腹泻3月持续高热20余天入院。患儿于1983年3月开始腹泻,至4月中旬伴发热咳嗽,在某医院按“气管炎”住院治疗8天痊愈出院,出院1周又开始腹泻,持续至5月25日再次发热,先后又住院2次,诊断为“肠炎”。肥达氏试验及胸片无异常,经用庆大霉素、氯苄青霉素、邻氯青霉素及输血50ml等治疗无效,于同年6月17日转入本院。患儿系足月臀位产第二胎,母乳喂养,生后半年内体健,父母非近亲婚配,一姐健在。查体:发育营养差,慢性病容,面色稍黄,体温40℃(肛表),全身浅表淋巴结未触及,咽充血,未见扁桃体;心率140次/分,律齐,无杂音;二肺呼吸音粗糙;
Children, male, November, hospital number 102995. Due to repeated diarrhea in March continued high fever more than 20 days admitted. Children with diarrhea started in March 1983 and had fever with cough in mid-April. They were hospitalized for 8 days in a hospital and were discharged after being discharged for 8 weeks. Diarrhea began after 1 week of discharge and re-occurred on May 25. Also hospitalized 2 times, diagnosed as “enteritis.” Wadda test and no abnormal chest X-ray, the use of gentamicin, benzylpenicillin, cloxacillin and blood transfusions 50ml treatment ineffective, in the same year on June 17 into the hospital. Children with full-term breech birth in the second child, breastfeeding, body health within six months after birth, parents non-relatives marriage, a sister alive. Physical examination: development of poor nutrition, chronic disease, pale yellow, body temperature 40 ℃ (anal), systemic superficial lymph nodes not touched, pharyngeal congestion, no tonsils; heart rate 140 beats / min, law Qi, no noise; Breath sounds rough;