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病例:男,12岁。间断不规则发热半年余,面色苍白一月多,伴精神萎靡、乏力、食纳差。病程中见褐色糊状便2～3次,未经治疗自愈。无关节肿痛及皮疹,尿正常。病后曾多次在当地医院按贫血、风湿热、结核病治疗均无效。于1987年6月来我院门诊,体检时发现全身浅表淋巴结肿大,肝脾轻度肿大。以发热待查收住院。既往史、个人史、家族史无特殊记载。体检:体温38.5,发育中等,营养差,慢性病容,面色苍白。巩膜及皮肤未见黄染和出血点。全身浅表淋巴结肿大8～9个,黄豆至花生米大小,质中,活动,无压痛。双肺呼吸音正常。心音较有力,律齐,无明显杂音。腹软,肝剑突下2cm,质中,无
Case: Male, 12 years old. Intermittent irregular fever more than six months, pale in January and more, with apathetic, weak, poor appetite. See brown paste during the course of 2 to 3 times, without treatment heal. No joint swelling and rash, urine normal. After the illness many times in the local hospital according to anemia, rheumatic fever, tuberculosis treatment are invalid. In June 1987 came to our hospital, physical examination found superficial lymph nodes, liver and spleen mild swelling. To be admitted to hospital fever. Past history, personal history, family history no special records. Physical examination: body temperature 38.5, moderately developed, poor nutrition, chronic disease, pale. Sclera and skin no yellow dye and bleeding points. Whole body superficial lymph nodes 8 to 9, soybeans to peanuts size, quality, activity, no tenderness. Respiratory sounds of both lungs normal. More powerful heart sound, law Qi, no obvious noise. Abdominal soft, liver xiphoid 2cm, quality, without