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男 44岁 住院号460711。无明显诱因每天发作一次畏寒,寒战,高热二月余。间歇期精神,食欲如常。曾去过四川省汶川县(黑热病病区)。查体:贫血貌,心肺未查出异常,肝肋下1.5cm,脾肋下3cm,质中等硬,无压痛。实验室检查:Hgb86g/L,RBC2.8×10~(12)/L,WBC2.8×10~9/L,N68％,L32％。肝功:TTT17.4u,ZTT20u.CCFT(?)SGPT36u,总蛋白63g/L,A25g/L,多次查末稍血未查见疟原虫。骨髓片:查见利什曼
Male 44 years old hospital number 460711. No obvious incentive for a chills, chills, fever in February every day. Intermittent spirit, normal appetite. Have been to Wenchuan County, Sichuan Province (kala-fever ward). Physical examination: anemia appearance, heart and lungs did not detect abnormalities, liver rib 1.5cm, 3cm spleen ribs, medium hard, no tenderness. Laboratory tests: Hgb86g / L, RBC2.8 × 10 ~ (12) / L, WBC2.8 × 10 ~ 9 / L, N68%, L32%. Liver function: TTT17.4u, ZTT20u.CCFT (?) SGPT36u, total protein 63g / L, A25g / L, check the end of a few blood did not check the malaria parasite. Marrow slices: check Leishman