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多种病症于一体的诊断 患者,男,78岁。于1998年8月16日入院。 病人主诉近3天无明显诱因咳嗽,咯白色粘痰,量比平时稍多,入院当天下午感乏力,浑身不适,咽干痛,测体温38.6℃,无鼻塞、流涕,无呼吸困难,无腹痛腹泻,无尿频尿急,来我院就诊查WBC16.8×10~9/L,中性粒细胞0.82。 病人过去病史较为复杂。 1981年自己发现左侧颈部有多枚小淋巴结,未予注意。1984年7月因咳嗽、发热入院。查体发现双颈部有多个大小不等肿大的淋巴结,约0.5～1.0cm大小,质中,可移动,无触痛。经抗感染治疗后,咳嗽、发热好转,但淋巴结无缩小。经取颈部
A variety of disorders in one of the diagnosis of patients, male, 78 years old. On August 16, 1998 admission. The patient complained of nearly 3 days no obvious incentive cough, slightly sticky phlegm, slightly more than usual, the afternoon afternoon on the hospitalization of a sense of fatigue, whole body discomfort, dry throat, measured body temperature 38.6 ℃, no nasal congestion, runny nose, no breathing difficulties, no Abdominal pain and diarrhea, urinary frequency urgency, to our hospital for examination WBC16.8 × 10 ~ 9 / L, neutrophils 0.82. Patient past history is more complicated. In 1981 I found that the left neck has multiple small lymph nodes, did not pay attention. July 1984 due to cough, fever admitted to hospital. Physical examination found that there are multiple sizes of two neck enlargement of the lymph nodes, about 0.5 ~ 1.0cm size, quality, removable, no tenderness. Anti-infection treatment, cough, fever improved, but no reduction in lymph nodes. Take the neck