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1 病例报告男性,20岁。1991年2月始无何诱因发热、腹胀、盗汗,伴颈部淋巴结肿大。当地医院初诊结核性腹膜炎,抗结核治疗1月无效。颈部淋巴结穿刺涂片,病理报告:查到癌细胞,考虑淋巴瘤。经COP方案治疗1个疗程后转入我院。入院检查:体温36℃,脉搏80/min,血压10/11 kPa。双肺未闻啰音。心界不大。腹部干坦,肝脾未触及。局部检查:双侧颈部锁骨上窝处可触及多个肿大淋巴结。最大直径
1 Case report Male, 20 years old. In February 1991, there was no cause of fever, bloating, night sweats, and lymphadenopathy in the neck. The local hospital first diagnosed tuberculous peritonitis, and antituberculosis treatment was ineffective in January. Neck Lymph Node Puncture Smear, Pathology Report: Cancer cells were identified and lymphomas were considered. After a course of treatment with the COP regimen, it was transferred to our hospital. Admission examination: body temperature 36°C, pulse 80/min, blood pressure 10/11 kPa. No lungs were heard in both lungs. The world is not big. The abdomen was dry and the liver and spleen were not touched. Local examination: Multiple swollen lymph nodes can be reached at the supraclavicular fossa of bilateral necks. The maximum diameter