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患者,女,22岁。因发热、皮下结节反复9个月,伴胸痛、腹隐痛于1981年7月1日诊断:气胸并结核性腹膜炎收入院。患者1980年11月始,不规则发热(T38～39℃),双上肢及颈部反复出现皮下结节,时有红、痛,伴胸痛、少咳、频频脐周隐痛,便秘、腹泻不定,神呆乏力、闭经,体重锐减(约减25kg)。当地医院曾拟诊“胸膜炎”、“肠伤寒”、“风湿热”治疗均未奏效。体检:T37.8℃,P94次/分,R22次/分,BP8.5/6kPa,体重
Patient, female, 22 years old. Due to fever, subcutaneous nodules repeated 9 months, with chest pain, abdominal pain in July 1, 1981 diagnosis: pneumothorax and tuberculosis peritonitis income hospital. Patients from November 1980 beginning of the irregular fever (T38 ~ 39 ℃), both upper extremities and neck repeatedly subcutaneous nodules, sometimes red, pain, with chest pain, cough, frequent umbilical pain, constipation, diarrhea, Amblyopia, amenorrhea, weight loss (about minus 25kg). The local hospital had proposed “pleurisy”, “enteritis”, “rheumatic fever” treatment did not work. Physical examination: T37.8 ℃, P94 beats / min, R22 beats / min, BP8.5 / 6kPa, weight