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恶性组织细胞增生症(MH) 病变主要侵犯造血系统,但亦可累及任何器官,临床表现多样,常造成诊断困难或误诊。本教研室近日剖检1例,临床疑诊为肠伤寒;现将其病变特点报道如下。 一、病史摘要 男性,37岁,工人。1990年3月12日突起高烧、头痛,按感冒治疗无效。第4天起全身黄疸,第6天出现酱油色大便。当地医院按肝炎、伤寒等治疗病情无改善,于3月31日转至协和医院。转院检查,体温40℃,脉搏140次/min,呼吸24次/min,血压14.63/7.98kPa; 红细胞数2.59×10~12/L,白细胞
Malignant histiocytosis (MH) lesions mainly invade the hematopoietic system, but can also affect any organ, clinical manifestations and diverse, often resulting in difficult or misdiagnosed diagnosis. The Department recently dissected a case of clinical suspicion of typhoid fever; now the characteristics of the lesions are reported below. First, a summary of the history of men, 37 years old, workers. March 12, 1990 sudden high fever, headache, according to the cold treatment is invalid. Whole body jaundice on day 4, soy sauce colored stool on day 6. The local hospital according to hepatitis, typhoid fever and other treatment did not improve the condition, on March 31 to Union Medical College Hospital. Transfusion examination, body temperature 40 ℃, pulse 140 beats / min, breathing 24 times / min, blood pressure 14.63 / 7.98kPa; red blood cell count 2.59 × 10-12 / L, white blood cells