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病例介绍患者女性,20岁,因左颈部肿块于1985年5月7日入院。自诉入院前5天突然发现左颈部有一雀蛋大的肿块,不痛,无畏寒,有低热,无吞咽困难,无盗汗。因肿块逐渐长大,要求外科治疗。患者以往身体健康。体查:一般情况好,神清合作,自动体位,发育营养中等。皮肤、巩膜无黄染。左颈胸锁乳突肌深部可触及3cm～4cm大小的肿块,边界清楚,可活动,无压痛,质中等。未触及全身表浅淋巴结。心肺无异常,肝、脾不肿大。未引出病理反射。实验室检查:血红蛋白115g/L,红细胞3.84×10~(12)/L,白细胞1.065×10~9/L,中性60％,淋巴30％,酸性10％。尿:酸性,蛋白(-)。
Case description Female patient, 20 years old, was admitted to hospital on May 7, 1985 due to left neck mass. 5 days before the admission of self-supremacy suddenly found the left neck with a large egg mass, no pain, no chills, fever, no swallowing difficulties, no night sweats. Due to the gradual growth of the mass, requiring surgical treatment. In the past, the patient was in good health. Physical examination: the general situation is good, clear cooperation, automatic position, developmental nutrition medium. Skin, sclera without yellow dye. Left cervical sternocleidomastoid muscle can reach the depth of 3cm ~ 4cm size of the tumor, the boundary is clear, can be activity, no tenderness, medium quality. Did not touch the whole body superficial lymph nodes. No abnormal heart and lung, liver, spleen not swollen. Did not lead to pathological reflex. Laboratory tests: hemoglobin 115g / L, erythrocytes 3.84 × 10-12 / L, white blood cells 1.065 × 10 ~ 9 / L, 60% neutral, lymphatic 30%, acid 10%. Urine: acidic, protein (-).