病历摘要患者女,22岁,农民,因发热1月余伴昏迷5天,于1975年11月18日入院。患者于10月9日顺产一男婴,产后第3天会阴不慎烫伤,成碗口大小创面,黄色渗液。从此时起开始发热,体温波动在37.8～40℃之间,发热前无明显畏寒。在当地医院曾用青霉素、链霉素、红霉素、庆大霉素等治疗无效。发热伴头痛、全身乏力、食欲减退、轻度咳嗽,但无下腹胀痛和恶露增多。11月10日因小儿夭亡,经常失眠。入院前5 Medical record Summary Female patient, 22 years old, farmer, due to fever in January with coma for 5 days, was admitted on November 18, 1975. The patient was delivered a baby boy on October 9, and the perineum was inadvertently scalded on the 3rd day postpartum, forming a bowl-shaped wound and a yellow exudate. From this time onwards, fever started, body temperature fluctuations between 37.8 ~ 40 ℃, no obvious chills before fever. In the local hospital had penicillin, streptomycin, erythromycin, gentamicin and other treatment is invalid. Fever with headache, malaise, loss of appetite, mild cough, but no lower abdominal pain and increased lochia. November 10 due to infant death, often insomnia. Before admission 5