坏死增生性淋巴结病(Necrotizing hgperp-lastic lymphadenopathy,NHL)是一原因不明的非肿瘤性淋巴结肿大,属淋巴结炎性免疫反应性疾病。多数作者认为本病在儿科并非少见,近来笔者遇到1例,经淋巴结活检证实,现报告如下。 患儿,女,6岁半,1992年5月16日入院。于入院前20天咽疼,2～3天后诉右耳后疼,继右颈部疼痛,并发现右颈部多个肿块。又4天后开始发热,体温38℃～39.5℃,高热时伴腹部脐周疼痛难忍,颈部肿块亦疼痛加剧,拒触,同时关节疼、全身无力、食欲不振、日渐消瘦。接种过卡介苗,有肺结核接触史,曾静滴青、链霉素等疗效不 Necrotizing hgperp-lastic lymphadenopathy (NHL) is an unexplained non-neoplastic lymphadenopathy, which is a lymphoid inflammatory immunoreactive disease. Most authors believe that the disease is not uncommon in pediatrics, I recently encountered in 1 case, confirmed by lymph node biopsy, are as follows. Children, women, 6 years and a half, admitted to hospital on May 16, 1992. 20 days before admission, sore throat, 2 to 3 days after the right ear pain, following the right neck pain and found that the right neck multiple lumps. Another 4 days after the onset of fever, body temperature 38 ℃ ~ 39.5 ℃, high fever with unpleasant abdominal pain, neck pain also increased, refused to touch, while joint pain, generalized weakness, loss of appetite, getting thinner. Vaccinated BCG, a history of pulmonary tuberculosis contact, had intravenous drip green, streptomycin and other effects not