论文部分内容阅读
患者,男,53岁,于10 d前无明显诱因出现全身乏力症状,夜间出现低热,并感腰背部疼痛不适,放射到左下肢,无腹泻、头痛、腹痛、头晕、心慌、胸闷不适。在当地卫生院给予静脉滴注头孢曲松等抗炎治疗5 d(具体不祥),症状改善不明显,为进一步治疗,遂到我院就诊。门诊查血WBC 48.9×10~9/L,Hb 103g/L,RBC 4.0×10~(12)/L,HCT 0.36,PLT 86×10~9/L。N 0.39,L0.22,M 0.08,浆细胞0.31;空腹血糖9.4 mmol/L。吸烟史30年,20支/天,糖尿病史7年,血糖控制尚可。初步诊断“白细胞
The patient, male, aged 53, had no generalized symptoms of generalized malaise during the first 10 days. He developed fever and nocturnal depression and had lower back pain and radiation to the lower extremities without diarrhea, headache, abdominal pain, dizziness, palpitation and chest discomfort. In local hospitals give intravenous infusion of ceftriaxone and other anti-inflammatory treatment 5 d (specific ominous), the symptoms did not improve significantly, for further treatment, then to our hospital. Outpatient blood examination WBC 48.9 × 10 ~ 9 / L, Hb 103g / L, RBC 4.0 × 10-12 / L, HCT 0.36, PLT 86 × 10-9 / L. N 0.39, L0.22, M 0.08, plasma cells 0.31; fasting glucose 9.4 mmol / L. 30 years of smoking history, 20 / day, 7-year history of diabetes, blood glucose control is acceptable. Preliminary diagnosis ”white blood cells