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病例摘要患者男,63岁,住院号91827。因畏寒,发热,咽痛5天,于1982年8月18日入院。6天前患者拔牙后服安乃近及四环素,当晚急起畏寒、发热、头痛及全身乏力,翌晨咽痛,吞咽困难。经当地县医院检查体温39℃,白细胞900,诊断为急性粒细胞缺乏症。经青、链霉素等疗治无效而转来本院。患者曾2次因牙痛服安乃近后出现上述病情,治疗后恢复。平素体健。无荨麻疹、头昏、乏力、出血及骨胳疼痛等病史。体检;体温39.3℃,血压130/86,急性病容。皮肤无皮疹及出血点,巩膜无黄染。颌下淋巴结约黄豆大,质软,轻度压痛。咽充血。心肺无殊。腹平软,肝肋1.5cm,质中,轻度压痛,脾肋下1.5cm,质软。全身
Case Summary Male patient, 63 years old, hospital number 91827. Due to chills, fever, sore throat 5 days, admitted on August 18, 1982. 6 days ago, after taking the tooth extract patients and tetracycline tetanus, night acute chills, fever, headache and malaise, sore throat the next morning, swallowing difficulties. The local county hospital temperature 39 ℃, white blood cells 900, diagnosed as acute agranulocytosis. Green, streptomycin treatment invalid and transferred to this hospital. Patient had 2 times because of toothache and metamizole after the above conditions, recovery after treatment. Usually physical health. No hives, dizziness, fatigue, bleeding and bone pain and other medical history. Physical examination; body temperature 39.3 ℃, blood pressure 130/86, acute disease. No skin rash and bleeding, sclera no yellow dye. Submandibular lymph nodes about soybeans, soft, mild tenderness. Pharyngeal congestion. No special cardiopulmonary. Abdomen soft, liver ribs 1.5cm, quality, mild tenderness, spleen rib 1.5cm, soft. whole body