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病历:叶×,男,4岁,住院号100934。主因发热2天,腹痛伴皮疹1天,1975年7月8日入院。患儿入院前2天突然发热38.5℃左右,并鼻衄1次。入院前一天出现阵发性腹痛,伴呕吐4次,同时发现躯干部皮肤有散在皮疹。去某医院化验白细胞22500,分叶核中性粒细胞84%,淋巴细胞16%,血沉一小时末63毫米。遂给四环素口服,并肌注卡那霉素,但高热仍持续不退。来我院门诊以急性扁桃体炎,急性淋巴结炎合并败血
Medical records: leaf ×, male, 4 years old, hospital number 100934. The main cause of fever 2 days, abdominal pain with rash 1 day, July 8, 1975 admission. 2 days before admission to children suddenly fever 38.5 ℃, and epistaxis 1 times. The day before admission, paroxysmal abdominal pain accompanied vomiting 4 times, at the same time found a scattered skin rash on the trunk. Go to a hospital laboratory test white blood cells 22,500, 84% of nuclear lobular neutrophils, lymphocytes 16%, ESR 63 millimeters at the end of an hour. Then give tetracycline oral, and intramuscular injection of kanamycin, but the high fever is still sustainable. To our hospital with acute tonsillitis, acute lymphadenitis with septicemia