论文部分内容阅读
例1:男性,38岁,农民。左锁骨上肿块月余就诊。一月前发现左锁骨上肿块,约栗子大小,稍压痛,无发热、咳嗽和盗汗。在院外诊为淋巴结核或恶性肿瘤淋巴结转移。先后用抗炎、抗痨、激素等治疗均无效。查体:内科系统检查无特殊.左锁骨上扪及2.5×3.0cm 肿块,边界清,压痛不明显。取肿块活检,病理诊断为猫抓病.详问病史了解到病前约二个月有猫抓史。例2:男性,65岁。约三个月前右手中指被猫抓伤,
Example 1: Male, 38 years old, farmer. Left supraclavicular mass more than a month for treatment. A month ago found on the left supraclavicular mass, about chestnut size, a little tenderness, no fever, cough and night sweats. Outpatient diagnosis of lymph node or malignant lymph node metastasis. Has anti-inflammatory, anti-tuberculosis, hormones and other treatments are ineffective. Physical examination: No special medical system examination. Left clavicle palpable 2.5 × 3.0cm mass, clear boundary, tenderness is not obvious. Take the biopsy, the pathological diagnosis of cat scratch disease. Detailed medical history learned about two months before cat scratch history. Example 2: Male, 65 years old. About three months ago, his right middle finger was scratched by a cat,