论文部分内容阅读
患者女,51岁。因高热咽痛17天于1998年4月15日以发热待查人院。患者人院前17天出现咽痛发热,T39.0℃,伴咳嗽.咳少量白色粘痰,纳差乏力,消瘦多汗。体检:T39.0℃,R20次/min,P120次/min.BP15/10kPa,咽充血,双肺呼吸音租,未闻及于湿啰音。心率120次/min.律齐,心尖区可闻及Ⅱ级收缩期杂音,肝肋下未及,脾侧位刚扪及,无皮肤粘膜瘀点瘀斑,无关节红肿压痛。实验室检查:血常规正常,ESR96mm/h。血肥达反应阴性,血抗核抗体阴性,血蛋白电泳正常。胸片
Female patient, 51 years old. 17 days due to high fever and sore throat in April 15, 1998 fever to be investigated hospital. 17 days before hospitalization, patients with sore throat fever, T39.0 ℃, with cough .Cleat a small amount of white phlegm, anorexia fatigue, weight loss sweating. Physical examination: T39.0 ℃, R20 times / min, P120 times / min.BP15 / 10kPa, pharyngeal congestion, lung breath sound rent, no smell and wet rales. Heart rate 120 beats / min. Law Qi, apex area can be heard and Ⅱ systolic murmur, liver ribs under the spleen, just lateral palpable mass, no skin mucosal petechia ecchymosis, no joint swelling and tenderness. Laboratory tests: normal blood, ESR96mm / h. Blood fat up to negative reaction, blood anti-nuclear antibody negative, normal blood protein electrophoresis. Chest radiograph