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患儿,男,9个月,住院号150882,不规则发烧伴面色苍黄三个月,颈部淋巴结肿大二个月,病后经常腹泄为稀水样便,日2—3次。近一个月来曾按淋巴结炎、淋巴结核给予抗炎抗痨药等治疗无效。体检:体温37℃,发育营养中等,皮肤苍黄,散在出血点,无淤斑,全身浅表淋巴结呈黄豆—花生米大小,右颈部淋巴结明显肿大约4×3 cm,质较硬,固定,无压痛。左头顶部有2×1×0.5cm 肿块,波动感,无压痛,睑结膜苍白,双肺散在干罗音,心音有力,心率154次,腹
Children, male, 9 months, hospital number 150882, irregular fever with pale yellow for three months, neck lymph nodes two months after the disease often diarrhea for the watery stool, 2-3 times a day. In the past month, according to lymphadenitis, lymph node tuberculosis given anti-inflammatory anti-tuberculosis treatment ineffective. Physical examination: body temperature 37 ℃, the development of nutrition medium, yellowish skin, scattered bleeding point, no ecchymosis, systemic superficial lymph nodes was soybean - peanuts size, right neck lymph node swelling about 4 × 3 cm, hard quality, No tenderness. Left top of the 2 × 1 × 0.5cm mass, a sense of volatility, no tenderness, palpebral conjunctiva, lungs scattered in the dry rales, heart sounds powerful, heart rate 154 times, the abdomen