Patient's question:
Age 1.5 years old: Patient is a female, 2.5 years old, previously in good health. The current condition is as follows:1. 8 days ago, without obvious cause, the patient developed fever and swollen cervical lymph nodes.
2. The temperature reached as high as 38.3°C, and the fever has not subsided.
3. The child's abdomen is swollen, and ultrasound shows hepatosplenomegaly.
4. Diet and sleep are relatively normal.
History of treatment and effectiveness:
1. In the community hospital, the temperature was measured, reaching as high as 38.5°C. Intravenous drip treatment did not reduce the fever, and the patient was transferred to the county hospital. Blood test results showed: white blood cells: 36×10^9/L, bone marrow puncture results were normal, neutrophil ratio: 25%, lymphocyte ratio: 75%, atypical lymphocytes.
Doctor's answer:
1. Western Medicine Treatment(1) Patients with high fever should be given fluid supplementation as appropriate.
(2) Shock patients should be treated with volume expansion and vasoactive drugs.
(3) Bleeding patients should be given hemostatic drugs.
(4) Patients with cerebral edema should be given mannitol for dehydration.
2. Traditional Chinese Medicine Treatment
(1) Febrile Stage: Chills and fever, headache and body pain, vomiting and diarrhea, red tongue with yellow greasy coating, floating or wiry-thready pulse.
Treatment Principle: Dispel exterior and clear qi, transform dampness and clear heat.
(2) Rash and Bleeding Stage: High fever with restlessness and thirst, maculopapular rash, skin ecchymosis and petechiae, hematochezia, vomiting, abdominal pain, etc. Red tongue with yellow greasy coating, slippery and rapid pulse.
Treatment Principle: Clear heat and drain fire, cool blood and detoxify.