论文部分内容阅读
患者,女,64岁,住院号54476。1979年1月5日入院。患者于1978年4月起,自觉发热(38～39℃),腰痛。5月去某区医院给予青、链霉素治疗,发热一度好转。6月住某医院作纤维胃镜、胸片检查、血培养、中段尿培养,均为阴性,仅血沉增高(为138毫米/小时),曾用各种抗菌素治疗无效。以“未明热”出院。8月门诊检查,体温38℃左右,血沉136毫米/小时,抗“O”500单位,给予强的松、消炎痛、体温遂降至正常,改服中药,又发热、腰痛、盗汗。1979年1月,因发热、腰痛,病情加重而住院。8年来有高血压病史,其它正常。检查:体温37.8℃,脉搏108次/分,血压130/80毫米汞柱,全身浅淋巴结不肿大,脾未扪及,肝肋下1厘米,尿白细胞20～30/高倍视野,蛋白极微。血白
Patient, female, 64 years old, hospital number 54476. Admitted to hospital on January 5, 1979. Patients in April 1978, consciously fever (38 ~ 39 ℃), low back pain. May to a district hospital to give green, streptomycin treatment, fever once improved. In June a hospital for fiber endoscopy, chest X-ray examination, blood culture, urine culture in the middle, were negative, only ESR (138 mm / h), had a variety of antibiotic treatment ineffective. To “not bright hot” discharged. August out-patient examination, body temperature 38 ℃, ESR 136 mm / h, anti-“O” 500 units, given prednisone, indomethacin, body temperature then dropped to normal, changed service traditional Chinese medicine, but also fever, back pain, night sweats. January 1979, due to fever, back pain, illness and hospitalization. 8 years history of hypertension, other normal. Check: Body temperature 37.8 ℃, pulse 108 beats / min, blood pressure 130/80 mm Hg, systemic superficial lymph nodes not swollen, spleen not palpable, hepatic ribs 1 cm, urinary white blood cells 20 to 30 / high power field, minimal protein . Blood white