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患者王××,女,60岁。固咽痛2个月加重10天于1997年3月7日入院。2个月前患者感冒后出现咽部疼痛,吞咽困难,并伴发热。服用“土霉素”等消炎药后,病情未见好转。10天前上述症状加重,以“急性肩槐体炎”诊断收治于我院急诊科,给予静点“青霉素+灭滴灵”抗炎治疗8天,静点“先锋霉素V”3天,病人热退,但仍觉咽痛剧烈,故转入我科治疗。该患病程中无咳嗽、咳痰,无声音嘶哑及呼吸困难,精神食欲欠佳。追问病史20年前曾患“肺结核”。现已治愈。查体:T36.8℃,脉搏80次/分,呼吸18次/分,血压12.0/9.0kpa,营养、发育欠佳,表情痛苦,神清语明。左下颌可扪及一枚3.0×3.0cm大小的淋巴结,活动度佳,无压痛。两肺未闻及干湿性罗音,未闻及胸膜摩擦音。专科情况:口咽
Patient Wang × ×, female, 60 years old. Solid sore throat 2 months to aggravate 10 days in March 7, 1997 admission. 2 months ago, the patient had throat pain after a cold, swallowing difficulties, and fever. Taking “oxytetracycline” and other anti-inflammatory drugs, the disease did not improve. 10 days ago, the above symptoms increased to “acute acral body disease” diagnosis admitted to our hospital emergency department, given static point “penicillin + metronidazole” anti-inflammatory treatment for 8 days, static point “Vanguard ADM” 3 days, Patient hot retreat, but still feel severe sore throat, it transferred to our department for treatment. The course of the disease without cough, expectoration, hoarseness and breathing difficulties, poor mental appetite. History asked 20 years ago had “tuberculosis.” Now cured. Physical examination: T36.8 ℃, pulse 80 beats / min, breathing 18 beats / min, blood pressure 12.0 / 9.0kpa, nutrition, poor development, expression pain, clear statement. Left jaw palpable with a 3.0 × 3.0cm size of the lymph nodes, good activity, no tenderness. Unheard of both lungs and wet and dry rales, no smell and pleural friction sound. Specialist situation: oropharyngeal