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患者 女,11岁,学生,血型为B型。1992年8月15日因先天性右髋关节脱位,收入院治疗。1992年9月2日在硬膜外麻醉下行右髋关节切开复位,股骨上端旋转截骨钢板螺丝钉固定。术前无发热等不适,术中输B型全血400ml,术后第三天因手术失血引起血红蛋白降低,再输血400ml。手术后体温38℃左右,每日上午体温正常,而下午2～8时体温升高在38～39℃,发热时伴发冷,无寒战发抖,精神状态良好。术后应用先锋霉素V1g静滴,2次/日抗感染。术后两周切口拆线,切口愈合良好。查体:咽不红,扁桃体不大,两肺呼吸音清晰,心律齐,肝脾未触及。术后第3周发现有侧颈部疼痛,局部有3个增大的淋巴结,质软,活动,压痛明显。下午体温仍高达39℃。
Female patient, 11 years old, student, blood type B type. August 15, 1992 due to congenital dislocation of the right hip, income hospital treatment. September 2, 1992 in the right epidural anesthesia under the right hip incision and reposition the upper femur rotation osteotomy plate screw fixation. Preoperative fever and other discomfort, intraoperative blood transfusion type B 400ml, the third day after surgery due to blood loss caused by hemoglobin, and then transfused 400ml. Body temperature around 38 ℃ after surgery, daily morning temperature is normal, and 2 to 8 pm temperature rise in 38 ~ 39 ℃, fever with cold, no chills, good mental state. After application of cephalosporin V1g intravenous infusion, 2 times / day anti-infective. Two weeks after the incision stitches, incision healed well. Physical examination: pharynx is not red, tonsils, lung breath sounds clear, heart Qi Qi, liver and spleen not touched. 3 weeks after surgery found that there is pain in the side neck, there are 3 local enlarged lymph nodes, soft, activity, tenderness significantly. Afternoon temperature is still as high as 39 ℃.