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患者,女,23a。以“畏寒、发热、伴全身肌肉疼痛半月入院。半月前救火后,全身不适,当日下午高烧达40℃,在当地给予“PNSM”后,体温降后反复无规则骤升,入院血常规检查:Hb148g/L,RBC5.18×10~(12)/L、WBC1.5×10~9/L、BPC100×10~9/L。肥达氏反应(一),肌酸肌酶263W/L,谷草转氨酶369W/L,乳酸脱氢酶1947W/L,α-羧丁酸脱氢酶735W/L,IgG6.95g/L、IgA0.92g/L、IgM1.02g/L、IgD0.03g/L、L_30.64g/L、L_40.2g/L、CRP<10μg/L,骨髓象:粒系增生活跃,分叶核比值增高,中幼粒以下各阶段浆内颗粒增多增粗,成熟中性粒细胞大小不
Patient, female, 23a. Half a month after the fire, the whole body discomfort, high fever on the afternoon up to 40 ℃, given the local “PNSM”, the body temperature dropped repeatedly after the sudden rise in blood routine examination : Hb148g / L, RBC5.18 × 10-12 / L, WBC1.5 × 10 ~ 9/L, BPC100 × 10 ~ 9 / L. Widal reaction (a), creatine kinase 263W / L, Aspartate aminotransferase 369W / L, lactate dehydrogenase 1947W / L, α-carboxybutyrate dehydrogenase 735W / L, IgG6.95g / L, IgA0.92g / L, IgM1.02g / L, IgD0.03g / L, L_30.64g / L, L_40.2g / L, CRP <10μg / L, bone marrow like: active hyperplasia of granulocyte, the ratio of leaf nucleus increased, the size of the intragranular granules in the following juveniles increased thickening, mature neutrophils Size is not