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徐××男,29岁,住院号29716。患者双颌下、颈部、锁骨上窝等处淋巴结无痛性、进行性肿大2个月,间流脓血鼻涕,于1983年4月25日入院。患者于1983年2月发现左颌下有一花生米大之淋巴结,呈进行性肿大,伴有鼻塞,间流脓血性鼻涕、较臭,咽喉隐痛不适,乏力、纳差,以何杰金氏病,鼻咽癌而入院。体检:T36.8℃,P80次,R18次,BP120/80。发育正常,营养中等,神清,皮肤无斑、丘疹及出血点,双颌下,颈部、锁骨上窝可触及多个蚕豆至核桃大之淋巴结,呈串珠状或聚集成团,质硬、无压痛,右眼球微突,结膜充血,鼻咽部有一蚕豆大之赘生物,表面呈坏死征,脆,触之易出血,心肺(-),腹平软,肝脾未触及。实验室检查,血、尿、大便常规正常,肝功、胸片,全消化道钡影均正常,血沉45mm/h,
Xu × × male, 29 years old, hospital 29716. Patients under the biceps, neck, supraclavicular fossa and other lymph nodes painless, progressive swelling 2 months, between the flow of pus and blood runny nose, in April 25, 1983 admission. Patients in February 1983 found a large peanut lymph nodes under the left jaw, was progressive enlargement, accompanied by nasal congestion, intercourse purulent bloody nose, more sore throat pain, discomfort, fatigue, anorexia, with Hodgkin’s Disease, nasopharyngeal cancer and admission. Physical examination: T36.8 ℃, P80 times, R18 times, BP120 / 80. Normal development, moderate nutrition, clear appearance, no skin spots, papules and bleeding points, bilaterally, neck, supraclavicular fossa can reach a number of large beans to walnut lymph nodes, beaded or gathered into groups, hard, No tenderness, right eyeball sudden protrusion, conjunctival congestion, nasopharynx has a broad bean vegetation, the surface showed signs of necrosis, crisp, easy to touch the bleeding, cardiopulmonary (-), abdominal soft, liver and spleen not touched. Laboratory tests, blood, urine, stool routine normal, liver function, chest radiograph, barium in the whole digestive tract are normal, erythrocyte sedimentation rate 45mm / h,