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患者欧×,男,24岁,干部,江西九江人。1980年12月20日夜间突然寒战后发热,次日口腔、外生殖器肿痛,经治无效,于1980年12月27日入院。检查:体温37.5℃,脉搏90次/分,呼吸22次/分,血压110/74mmHg。眼耳鼻及全身检查无异常发现。口腔检查:(654)|(37)|(567)颊龈红肿,表面有灰色的片状假膜,易擦去,去后不出血。下唇充血肿胀,表面盖有较厚黄色假膜,撕开时见出血糜烂面。两侧颌下淋巴结如蚕豆大,触痛明显。外生殖器:包皮过长,前端水肿,系带两侧冠状沟有小圆溃疡散在,黄色分泌物较多。化验:红细胞430万,血红蛋白11.5g,白细胞12700,中性79%,淋巴21%,尿、粪常规及血沉均正
Patients ×, male, 24 years old, cadres, Jiangxi Jiujiang. December 20, 1980 night after a chill fever, the next day oral and external genital swelling and pain, the rule invalid, was admitted on December 27, 1980. Check: body temperature 37.5 ℃, pulse 90 beats / min, breathing 22 beats / min, blood pressure 110 / 74mmHg. Eye, ear and nose and body check no abnormal findings. Oral examination: (654) | (37) | (567) Inflammatory cheeks, the surface of the gray sheet of pseudomembrane, easy to wipe off to go without bleeding. Lower lip hyperemia swelling, the surface covered with a thick yellow pseudomembranous, bleeding when hemorrhagic see the surface. Submandibular lymph nodes on both sides such as broad beans, tenderness significantly. Genitalia: prepuce, frontal edema, lace on both sides of the coronal small ulcers scattered, yellow discharge more. Laboratory: 4.3 million red blood cells, hemoglobin 11.5g, white blood cells 12700, 79% neutral, lymph 21%, urine, fecal routine and ESR are