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例1 叶某,男,27岁。自诉发热恶寒、头痛10天。四肢有沉重感,不思饮食,口渴喜热饮,继而出现两耳重听,有时说胡话,口甜腹胀,大便5天未解,小便短赤,尿道有灼热感。曾经某医按“疟疾”治疗未效。检查:体温39℃,血压110/75毫米汞柱。表情迟钝,面容板滞,不欲言语,胸腹有散在性玫瑰疹。心肺正常,腹平坦柔软无压痛,脾肿大左肋下1.5厘米,质不硬,肝未触及,舌苔黄腻,脉濡缓。化验:肥达氏反应阳性,两次大便培养出伤寒杆菌。
Example 1 Ye Mou, male, 27 years old. The prosecution experienced chills and headaches for 10 days. Limbs have a heavy sense, do not think of diet, thirsty like hot drinks, followed by two ears hard to hear, sometimes nonsense, sweet mouth bloating, bowel movements 5 days unresolved, short urine red, urinary tract burning sensation. Once a doctor had failed to respond to the malaria treatment. Check: Body temperature 39°C, blood pressure 110/75 mm Hg. Expression is dull, face is stagnant, do not want speech, there is a scattered rose rash on the chest and abdomen. Cardiopulmonary normal, flat belly soft without tenderness, splenomegaly 1.5 cm under the left rib, the quality is not hard, the liver is not touched, yellow greasy tongue coating, pulse slow. Laboratory tests: Positive fertility reaction. Two stools cultured Salmonella typhi.