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病历摘要男患,32岁。因发热、头痛逐渐加重,左腋下痛性包块半个月,于1988年3月11日入院。既往健康。查体:体温38.9℃,颈部、颁下、腋窝及腹股沟淋巴结均肿大,多呈黄豆、花生米大,左腋下为鹅蛋大,均有轻度触痛,无粘连。肝肋下1cm,脾肋下1cm,质软,无触痛。无颈强,克氏征阴性。实验室检查:血红蛋白128g/L,白细胞2.3×10~9/L,血小板133×10~9/L,血沉22mm/h,肝功正常,血IgC、IgA、IgM及血浆蛋白电泳均正常,血、尿细菌培养阴性,肥达氏、外裴氏反应阴性,血LE细胞阴性。腰穿脑压24.5kPa,脑脊
Male patient history, 32 years old. Due to fever, headache gradually aggravating, left axillary pain mass for half a month, March 11, 1988 admitted. Past health. Physical examination: body temperature 38.9 ℃, neck, awarded, axillary and inguinal lymph nodes are swollen, mostly soybeans, peanuts, left underarm goose egg, have mild tenderness, no adhesions. Liver ribs 1cm, spleen rib 1cm, soft, no tenderness. No neck strong, Kirschner sign negative. Laboratory tests: hemoglobin 128g / L, white blood cells 2.3 × 10 ~ 9 / L, platelet 133 × 10 ~ 9 / L, erythrocyte sedimentation rate 22mm / h, normal liver function, blood IgC, IgA, IgM and plasma protein electrophoresis were normal, blood , Urinary bacterial culture negative, Widal, outside Pei’s reaction negative, blood LE cells negative. Lumbar pressure 24.5kPa, cerebrospinal