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向××,(住院号222158),女,23岁,学生,恩施县鸦鹊公社人。因持续不规则发热两月余,迅速日趋恶液质、腹胀一周,于1975年10月19日入院。 患者于1975年8月1日由县城学校回乡渡暑假,2～3天后开始畏冷低热(38℃左右),咳嗽,胸痛,偶尔痰中带血丝,伴有持续腹部隐痛,卫生院疑为“结核”,按结核治疗10天,体温继续上升达39℃左右,乃转地区医院,入院时检查:左侧呼吸音减弱,肝大1厘米。化验:白细胞7200/立方毫米,中性粒细胞76％,嗜酸性粒细胞6％,淋巴细胞18％。胸透右上肺片状阴影、左侧气胸,继续用异菸肼、P.A.S及链霉素等治疗10天,仍无效。乃
To × ×, (hospital number 222158), female, 23 years old, student, Enshi County crow magpie people. Due to persistent irregular fever more than two months, the rapid deterioration of cachexia, abdominal distension for a week, was admitted to hospital on October 19, 1975. On August 1, 1975, the patient returned home from the county school for summer vacation. After 2 ~ 3 days, she began to feel cold and fever (about 38 ℃), cough, chest pain and occasionally bloody sputum with persistent abdominal pain. The hospital suspected “Tuberculosis”, according to tuberculosis treatment for 10 days, body temperature continued to rise up to 39 ℃, is transferred to the regional hospital, admission examination: weakened on the left breath, liver 1 cm. Laboratory tests: white blood cells 7200 / cubic mm, 76% of neutrophils, eosinophils 6%, lymphocytes 18%. Thoracotomy right lung sheet shadow, pneumothorax on the left, continue with isoniazid, P.A.S and streptomycin treatment for 10 days, still ineffective. Yes