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1.临床资料 患者,仇××,女,6个月,因发热、咳喘来我院就诊。查体:体温39℃,心率140次/分,呼吸急促。腹平软,肝右肋下2.5cm,边锐,质软,脾未触及。全身浅表淋巴结无肿大。其父母身体健康,非近亲结婚。祖父因肝癌于8个月前死亡。实验室检查:WBC 14.4×10~9/L,Hb 90g/L,PLT 12g×10~9/L,ESR 12mm/h。X线示:左侧胸膜炎并胸腔积液。CT示:左侧大量胸腔积液(左肺组织显示不清)。胸水常规检查:外观为血性标本,李凡他试验(+)。细胞计数:200×10~6/L,分类:单
1. Clinical data Patients, hatred × ×, female, 6 months, due to fever, cough to our hospital. Physical examination: body temperature 39 ℃, heart rate 140 beats / min, shortness of breath. Abdomen soft, liver right rib 2.5cm, while sharp, soft, spleen not touched. Systemic superficial lymph nodes without swelling. Their parents are in good health and marry non-relatives. His grandfather died of liver cancer eight months ago. Laboratory tests: WBC 14.4 × 10 ~ 9 / L, Hb 90g / L, PLT 12g × 10 ~ 9 / L, ESR 12mm / h. X-ray showed: pleurisy on the left side and pleural effusion. CT showed: a large number of pleural effusion on the left (left lung tissue is unclear). Pleural effusion routine examination: the appearance of bloody specimens, Li where he test (+). Cell count: 200 × 10 ~ 6 / L, Category: Single