论文部分内容阅读
病人,女,39岁,商店职员,患者因左耳垂下局部红肿,在外院抗炎治疗半月,效果不佳,就诊我科。既往身体健康,无其它自觉症状。查体:T 37.2℃,P 72次/分,R 20次/分,神志清楚,心律齐,无杂音,两肺呼吸音粗糙,未闻明显水泡音。腹平软,肝脾未触及。左耳垂下局部隆起,皮表红肿,无压痛,无波动感,耳后颈部可触及数个黄豆大小淋巴结,可活动,无疼痛。实验室检查:WBC 10×10~9/L,N0.60,L0.40,PPD 皮试1:2000 5Tu 一般阳性,X 线胸片:左肺
Patient, female, 39 years old, store staff, patients with local swelling due to left ear lobe, anti-inflammatory treatment in the hospital half a month, poor results, visit our department. Past health, no other symptoms. Examination: T 37.2 ℃, P 72 beats / min, R 20 beats / min, conscious, Qi Qi, no noise, rough breathing sounds of both lungs, no obvious blisters sound. Abdomen soft, liver and spleen not touched. Left ear drooping local uplift, skin surface swelling, no tenderness, no fluctuation, back of the neck can reach several soybean size lymph nodes, can be activity, no pain. Laboratory tests: WBC 10 × 10 ~ 9 / L, N0.60, L0.40, PPD skin test 1: 2000 5Tu generally positive, X-ray: the left lung