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病史摘要沈某,女,26岁。一月前曾施行子宫下段剖腹产术,术后不规则发热12天。体检:高热40℃,左颌下可触及一黄豆大的淋巴结,心肺听诊无殊,肝来及,脾肋下2cm,双侧小腿可见针尖状的皮疹。X线(一)。血红蛋白7.5g,白细胞6550,N33%,L87%。寄生虫(一)。首次骨髓象:增生活跃,粒红比41.7:1,嘈中性早、中和晚幼粒大于26.4%,嗜中性杆状核34%,嗜中性分叶核16.2%,唁酸性粒细胞6.4%,嗜硷性粒细胞0.4%,早幼红0.2%,中幼红
Summary of medical history Shen Mou, female, 26 years old. A month ago had the implementation of lower uterine caesarean section, irregular fever after 12 days. Physical examination: high fever 40 ℃, the left submandibular touch can reach a large lymph nodes, cardiopulmonary auscultation without special, liver and spleen ribs 2cm, bilateral lower extremity visible tip-like rash. X-ray (a). Hemoglobin 7.5g, white blood cells 6550, N33%, L87%. Parasites (a). The first bone marrow was hyperplastic, with a grainy ratio of 41.7: 1, early noisy neutralization, more than 26.4% of central and late promyelocytes, 34% of neutrophilic rod-shaped nuclei, 16.2% of neutrophil lobes, 6.4%, basophils 0.4%, eosinophils 0.2%, young red