论文部分内容阅读
患者男,40岁,工人。因不规则发热半年余,近廿天持续不退于1988年8月13日入院。体检:T38℃,P80次,R20次,BP14.1/10.7kPa。一般情况可,皮肤及粘膜无皮疹及出血点,两下肢胫骨前内缘及腹股沟皮下扪及4枚黄豆大小结节,有压痛,无红肿。浅表淋巴结不肿大。巩膜无黄染,心肺(—),肝脾肋下未及。实验室检查:WBC 9×10~9/L,N 0.76,L 0.24,RBC 2.78×10~(12)/L,Hb85g/L,肝功能正常。ASO<500u,ESR60mm/1h,RF(—),IgG2.2g/L,IgA5000mg/L,IgM5000mg/L,血培养(—),肥达反应(—),胸片及心电图正常。骨髓检查提示感染伴缺铁。治疗经过:入院
Male patient, 40 years old, worker. Due to irregular fever more than six months, nearly twenty days continued unabated on August 13, 1988 admission. Physical examination: T38 ℃, P80 times, R20 times, BP14.1 / 10.7kPa. In general, the skin and mucous membrane without rash and bleeding points, the lower extremity anterior tibia and groin subcutaneous palpable four soybean size nodules, tenderness, no redness. Superficial lymph nodes are not enlarged. Scleral no yellow dye, cardiopulmonary (-), liver and spleen ribs did not reach. Laboratory tests: WBC 9 × 10 ~ 9 / L, N 0.76, L 0.24, RBC 2.78 × 10 ~ (12) / L, Hb85g / L, normal liver function. ASO <500u, ESR60mm / 1h, RF (-), IgG2.2g / L, IgA5000mg / L, IgM5000mg / L, blood culture (-), Widal response (-), chest X-ray and normal ECG. Bone marrow examination suggests infection with iron deficiency. After treatment: admission