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例1,男,20岁,农民。患者于1月前开始不规则发热,可高达39℃以上,同时伴有肘、膝关节及双侧胫前疼痛,无红肿。病后感乏力、纳差、盗汗、消瘦。于1976年4月25日入院。以往有多年喷洒农药史。查体:贫血貌,皮肤粘膜未见出血点,双侧颈部、腋下及腹股沟均可扪及多数绿豆至花生米大淋巴结。胸骨轻度压痛,心肺(一),肝肋下1cm,脾肋下2cm,质软,无压痛。胫骨前轻度压痛。化验:Hb60g/L,WBC2.8×
Example 1, male, 20 years old, farmer. Patients began irregular fever 1 month ago, up to 39 ℃ above, accompanied by elbow, knee and bilateral anterior tibial pain, no redness. Sick after a sense of fatigue, anorexia, night sweats, weight loss. On April 25, 1976 admission. Past years have been spraying pesticide history. Physical examination: anemia appearance, no skin and mucous membrane bleeding, bilateral neck, armpit and groin are palpable and most of the large mung bean peanut lymph nodes. Slight tenderness of the sternum, heart and lung (a), 1cm under the liver ribs, 2cm under the splenic ribs, soft, no tenderness. Tight tenderness before the tibia. Assay: Hb60g / L, WBC2.8 ×