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患者男,15岁.因咽痛、畏冷发热、关节痛1周余于1991年11月15日入院.既往有“关节炎”史,入院前服强的松半年余.体检:T 39.4℃,P110次/分,R 28次/分,BP 16/11k Pa.皮肤及眼结合膜无黄染.鼻唇之间皮肤散在多个小化脓灶,部分已被搔破,皮肤及脸结膜未见出血点及瘀斑.咽红,扁桃体不大.双肺未闻及罗音,心率110次/分,律齐.肺动脉瓣区第二音分裂,心前区smⅡ°,心界无明显扩大.腹软,肝脾未触及.四肢关节未见红肿及畸形.WBC:20.5×10~9/L,中性杆状0.3,分叶0.6,淋巴0.1,Hb110g/L,血小板13.4×10~9/L.纠正血沉:34mm/h.肝功能:1分钟胆红素
The patient was male, aged 15. She was admitted to hospital on November 15, 1991 due to sore throat, cold and fever, and arthralgia for a period of more than six months before admission, with a history of “arthritis.” Physical examination: T 39.4 ℃ , P110 beats / min, R 28 beats / min, BP 16 / 11k Pa. Skin and ocular junction membrane without yellow dye. Multiple nasolabial fissure scattered in the skin between the lips, the part has been scratched, the skin and face conjunctiva See bleeding points and ecchymosis. Throat red, little tonsils .Life not heard and rales, heart rate 110 beats / min, law Qi. Pulmonary valve area of the second sound split, precordial sm Ⅱ °, heart no significant expansion Abdominal softness, liver and spleen not touched.At limbs joint no swelling and deformities.WBC: 20.5 × 10 ~ 9 / L, neutral rod-shaped 0.3, lobulated 0.6, lymph 0.1, Hb110g / L, platelet 13.4 × 10 ~ 9 / L. Correct ESR: 34mm / h. Liver function: 1 minute bilirubin