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王某,男,46岁,因发烧20天,咯血、呼吸困难2天,于1986年4月15日入院.体检:T37.8℃,R28次、BP 70/50.巩膜及皮肤黄染,心率130次.未闻杂音.双肺闻及湿性啰音.肝右肋下3cm,质软、触痛,脾肋下可触及.化验检查:Hb53g/L,RBC 1.1×10~(?)/L.WBC0.4×10~9/L,N0.3、L0.7、PC20×10~9/L,黄疸指数40u,SGPT 415u,CO_2CP11mmol/L,BUN9.2mmol/L.骨髓检查:粒红、巨核细胞增生均重度降低,淋巴细胞相对增加50%.血细菌培养出白色葡萄球菌.诊断:菌血症;急性病毒性肝炎、急性型再生障碍性贫血.采
Wang, male, 46 years old, with fever for 20 days, hemoptysis and dyspnea for 2 days, was admitted on April 15, 1986. Physical examination: T37.8 ℃, R28 times, BP 70/50 Sclera and skin yellow dye, Heart rate 130. Unheard noise. The lungs heard of wet rales. Right hepatic ribs 3cm, soft, tender, palpable under the ribs. Laboratory tests: Hb53g / L, RBC 1.1 × 10 ~ (?) / L.WBC0.4 × 10-9 / L, N0.3, L0.7, PC20 × 10-9 / L, jaundice index 40u, SGPT 415u, CO_2CP11mmol / L, BUN9.2mmol / L. Bone marrow examination: , Megakaryocyte hyperplasia were significantly reduced, the relative increase of 50% of lymphocytes. Blood bacteria Staphylococcus aureus. Diagnosis: Bacteremia; Acute viral hepatitis, acute aplastic anemia.