论文部分内容阅读
患者男性,19岁,战士。因头昏、乏力、高热3天于1988年6月10日入院。入院前6天服防疟片3号4片,3天后感头昏、乏力,继之出现寒颤、发冷、高热,体温达40℃,咽喉疼痛、恶心、呕吐2次。体检:体温39.5℃,脉搏130,血压13.2/8kPa。急性热病容,神志清楚。全身皮肤无出血点,表浅淋巴结不肿大。巩膜无黄染,口腔粘膜可见2个0.5cm×0.5cm大小坏死性溃疡面。心肺正常。腹软,无压痛,肝脾未触及。实验室检查:血红蛋白105g/L,白细胞0.6×10~9L,中性0.10,淋巴0.81,酸性0.03,单棱0.06。血小板105×10~9/L。骨髓象:有核细胞增生活跃,粒:红=0.95:1,粒系增生减低,核左移,成熟中性粒细胞明显减少,红系和
Male patient, 19 years old, warrior. Due to dizziness, fatigue, fever 3 days in June 10, 1988 admission. 6 days before admission, taking anti-malaria tablets No. 3 4, 3 days after the feeling of dizziness, fatigue, followed by shivering, chills, fever, body temperature of 40 ℃, sore throat, nausea, vomiting 2 times. Physical examination: body temperature 39.5 ℃, pulse 130, blood pressure 13.2 / 8kPa. Acute fever, conscious. No skin bleeding, superficial lymph nodes are not swollen. Sclera no yellow dye, oral mucosa visible 2 0.5cm × 0.5cm size necrotic ulcer surface. Cardiopulmonary normal. Abdomen soft, no tenderness, liver and spleen not touched. Laboratory tests: hemoglobin 105g / L, white blood cells 0.6 × 10 ~ 9L, neutral 0.10, lymphatic 0.81, acidic 0.03, single-sided 0.06. Platelets 105 × 10 ~ 9 / L. Bone marrow: nucleated cell hyperplasia active, grain: red = 0.95: 1, decreased myeloid hyperplasia, left nucleus, decreased significantly in mature neutrophils, erythroid and