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患者男,40岁,住院号407967。因颌下淋巴结肿大两月余,食减、乏力20余天,于1985年2月9日入院。1984年12月发现双颌下淋巴结肿大,不痒不痛,当地按“淋巴结核”治疗肌注“青、链霉素”无效而来诊。既往无结核病史;无化学物品及农药接触史。检查:T36.5°C,P84次,BP140/60mmHg,消瘦,贫血貌,皮肤弹性差,轻度失水征,皮肤无出血点。全身表浅淋巴结肿大,胸骨有压痛,心肺无异常,肝肋下1cm,脾未及,无脑膜刺激征。血红蛋白11.8g,白细胞
Male patient, 40 years old, hospital number 407967. Due to submandibular lymph nodes more than two months, food reduction, fatigue more than 20 days, on February 9, 1985 admission. December 1984 found that submandibular lymph nodes, itch does not hurt, according to the local “lymph node tuberculosis” intramuscular injection of “blue, streptomycin” invalid visit. No previous history of tuberculosis; no history of exposure to chemicals and pesticides. Check: T36.5 ° C, P84 times, BP140 / 60mmHg, weight loss, anemia appearance, poor skin elasticity, mild dehydration symptoms, no bleeding skin. Systemic superficial lymph nodes, sternal tenderness, no abnormal heart and lung, hepatic ribs 1cm, splenomegaly, no meningeal irritation. Hemoglobin 11.8g, white blood cells