论文部分内容阅读
患儿,男,6岁,20天前因患口腔疼痛,继之出现舌运动不灵,语言不清,进食障碍,在当地按“口腔炎”治疗无效,且又出现舌向左侧歪斜,近5天来发烧,体温达39℃,伴双下肢酸麻入院。其母死于淋巴瘤。患儿皮肤粘膜苍白,腹股沟淋巴结肿大,眼睑轻度浮肿,舌苔黄而厚,咽部充血,颈稍抵抗。肝肋下2cm,巴氏征、克氏征、布氏征均阳性。实验室检查红细胞291万/mm~3,血红蛋白7.9g/dl,白细胞9200/mm~3,中性粒细胞60%,淋巴细胞38%,单核细胞2%。脑脊液压力增高,外观清亮,总细胞数4个/mm~3,白细胞数2个/mm~3,氯化物760mg%,
Children, male, 6 years old, 20 days ago suffering from oral pain, followed by tongue movement is not working, language is unclear, eating disorders, according to the local “stomatitis” treatment is invalid, and there is tongue left to skew, Nearly 5 days to fever, body temperature of 39 ℃, with double lower limb sore admission. The mother died of lymphoma. Children skin pale mucous membrane, inguinal lymph nodes, mild edema eyelid, yellow and thick fur, throat congestion, slightly resistant neck. Liver ribs 2cm, Pakistan sign, Kirschner sign, Clinton sign were positive. Laboratory tests of erythrocytes 2.91 million / mm ~ 3, hemoglobin 7.9g / dl, white blood cells 9200 / mm ~ 3, 60% of neutrophils, lymphocytes 38%, monocytes 2%. Cerebrospinal fluid pressure increased, the appearance of bright, the total number of cells 4 / mm ~ 3, the number of white blood cells 2 / mm ~ 3, chloride 760mg%