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例1 男,23岁。上肢疼痛1月,颌下包块6天,1983年5月23日入院。二月来无诱因上肢骨痛,心慌,乏力,发热。一月前发展为胸骨及背部烧灼样剧痛,血沉一小时110毫米。服阿司匹林及强的松后症状缓解。一周前胸骨疼痛发作,并出现颌下等部位包块球院就诊。体查:体温39℃,脉搏120次/分,贫血貌,皮肤有散在出血点,颌下、颈侧、腋下、腹股沟等处淋巴结如蚕豆及樱桃大,中等硬、边界清,光滑无粘连,无压痛。心肺(-),肝肋下3 cm,
Example 1 male, 23 years old. Upper extremity pain January, submandibular mass 6 days, May 23, 1983 admission. No incentive in February to upper limb pain, palpitation, fatigue, fever. A month ago developed to the sternum and back burning like pain, ESR 110 millimeters an hour. Aspirin and prednisone relieved symptoms. Sternal pain episodes a week ago, and submandibular mass and other parts of the mass hospital. Physical examination: body temperature 39 ℃, pulse 120 beats / min, anemic appearance, scattered skin bleeding point, submandibular, neck side, armpit, groin and other lymph nodes such as broad beans and cherry, medium hard, clear boundary, smooth without adhesion , No tenderness. Heart and lung (-), liver ribs 3 cm,