病史摘要 患者女性,57岁,广州人。以“全身浅表淋巴结肿大伴间歇性发热20余天”于1996年3月18日收入院。自述入院前20余天无明显诱因出现颈部肿物,随后渐出现两侧腋下、上臂、腹股沟及腘窝等处肿物,大者似蚕豆大小,均有轻压痛,伴间歇性发热38～39.8℃,全身骨痛,无畏寒、咳嗽、咳痰、咽痛、腹痛及腹泻。1周前曾在外院以“感冒’予青霉素治疗,症状无缓解。4天前全身遍布出血性皮疹,无瘙痒,无鼻衄及牙龈出血。血常规:WBC 0.77×10~9/L,Hb 90g/L,BPC 56×10~9/L。发病以来,消瘦明显,体重减轻约5公斤,伴夜间盗汗,大小便性状正常,无传染病史,未曾到过疫区,家族中无类似病史。入院体检:神志清醒,急性病容,消瘦。双颁下、颈部、两腋下、滑车上、腹股沟 Medical History Abstract The patient was female, 57 years old, from Guangzhou. He was admitted to the hospital on March 18th, 1996 for “more than 20 days of superficial superficial lymphadenopathy with intermittent fever.” After 20 years of hospitalization, there was no obvious cause of cervical tumors before admission, and then gradually appeared on both sides of the armpit, upper arm, inguinal and axillary tumors, etc., the size of the big like faba, all have mild tenderness, with intermittent fever 38 ~ 39.8°C, whole body bone pain, no chills, cough, sputum, sore throat, abdominal pain and diarrhea. One week ago, she was treated with penicillin in a cold at the outer court. No symptoms relieved. Four days ago, the body was covered with a hemorrhagic rash, no itching, no epistaxis and gum bleeding. Blood routine: WBC 0.77×10~9/L, Hb 90g/L, BPC 56×10~9/L.Since the onset, weight loss was obvious, weight loss was about 5 kg, night sweats, urine and urine were normal, there was no history of infection, and no epidemic was found. There was no similar history in the family. Admission examination: clear minded, acute disease, weight loss, double award, neck, both underarms, upper block, groin