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病例1 王××,女,68岁。因双侧颈部及腮腺区包块数十年,近二个月来增长迅速并伴有轻度疼痛、不规则的低烧,在乡卫生所经用抗菌类药物(不详)治疗后,无明显好转来我院就诊。查体:慢性病容,体温37。7℃,体型肥胖,皮肤及粘膜无黄染、无出血点。心前二、三尖瓣区可闻及在收缩期有吹风样的杂音。触诊、肝脾在肋下未扪及,双下肢有轻度浮肿。面部双侧对称,在
Case 1 Wang × ×, female, 68 years old. Due to bilateral neck and parotid gland area for decades, the rapid increase in the past two months with mild pain, irregular low-grade fever, antibiotics used in the township health clinics (unknown) after treatment, no significant Improved to our hospital. Physical examination: chronic disease, body temperature 37.7 ℃, body fat, no yellowish skin and mucous membrane, no bleeding point. Heart before two, tricuspid valve area can be heard in the systolic hair-like murmur. Palpation, liver and spleen not palpable in the ribs, both lower extremities with mild edema. Bilateral symmetry in the face