论文部分内容阅读
病历摘要刘××,男,29岁。因发热40余天,10天来苍白、乏力,1975年5月7日入院。患者40余天体温波动在38℃—40℃,发热时间不规律,发热前寒战,伴咳嗽、头痛、食差、乏力。无尿疼,不腹泻。血培养、肥达氏反应、骨髓及胸大片均未发现异常,白细胞600/立方毫米。经各种抗菌素、激素治疗,热仍未退。既往曾患中耳炎,阑尾炎。无传染病及毒物接触史。查体:40.1℃,血压90/60毫米汞柱,脉搏130次/分,神智淡漠,贫血貌,背部散在少量出血点,全身浅表淋巴结未触及,扁桃腺Ⅱ度肿大,右侧有脓性分泌物,听力减退,颈软,胸骨无压疼,心肺
Medical record summary Liu × ×, male, 29 years old. Due to fever for more than 40 days, 10 days pale, weakness, May 7, 1975 admission. Patients with body temperature fluctuations of more than 40 days at 38 ℃ -40 ℃, irregular fever, chills, fever, cough, headache, poor diet, fatigue. No pain, no diarrhea. Blood culture, Widal reaction, bone marrow and chest were found no abnormalities, white blood cells 600 / cubic millimeter. After a variety of antibiotics, hormone therapy, the heat has not returned. Previously suffering from otitis media, appendicitis. No infectious diseases and toxic contact history. Physical examination: 40.1 ℃, blood pressure 90/60 mm Hg, pulse 130 beats / min, apathetic, anemia appearance, back scattered in a small amount of bleeding, systemic superficial lymph nodes not touched, tonsil enlargement of the tonsil, right pus Sexual secretions, hearing loss, neck soft, sternal no pressure pain, heart and lung