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发热就诊扁桃体炎杨某,女,16岁,中学生。因咳嗽、发热、食欲不振两天于2003年2月26日上午9时去某市A医院门诊。经身体检查,诊断为急性扁桃体炎。李医师给杨某开了3天药,每天输液(5%GS)1000ml,液中加入了青霉素480万单位(皮试阴性)。当天下午2时输液完成时,杨某体温从38.5℃下降至38℃。2月27日、28日杨某输液后,扁桃体从Ⅱ°肿大变为Ⅰ°肿大,体温37.5℃,食欲不振有好转,其余均无异常。怀疑非典医学隔离2月28日下午,杨某正在输液时,某市卫生局领导来医院检查“非典”防治情况,当得知杨某3天发热而没有被医学隔离时,该领导指示医务人员立即将杨某实行隔离措施;并将与杨某接触密切的亲人、同学共5人均实行医学观察。
Fever tonsillitis Yang, female, 16 years old, middle school students. Due to cough, fever, loss of appetite for two days at 9:00 on February 26, 2003 to a City Hospital outpatient. After physical examination, diagnosis of acute tonsillitis. Dr. Lee opened Yang three days of medicine, infusion (5% GS) 1000ml, liquid added 4.8 million units of penicillin (skin test negative). At 2 pm the same day infusion is completed, Yang body temperature decreased from 38.5 ℃ to 38 ℃. February 27, Yang Yang on the 28th infusion, tonsil enlargement from Ⅱ ° to Ⅰ ° enlargement, body temperature 37.5 ℃, loss of appetite improved, the rest were normal. Suspected SARS medical isolation February 28 afternoon, Yang is transfusion, a city health bureau leadership to the hospital to check the “SARS ” prevention and treatment of the situation, that when Yang three days without fever and medical isolation, the leadership instructions Yang Yang medical personnel immediately implement isolation measures; and Yang and close family and friends, a total of 5 were implemented medical observation.