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患者林××、男、55岁,农民,住院号20,168。4个月前开始反复腹胀、腹泻,近2个月上腹痛,排糊状粘液血便,伴发热,出汗、咳嗽、心悸、气促,眼脸及双下肢浮肿,经抗生素及灭滴灵等治疗无效而收入院。体检:T37.5℃,BP94/76。双颌下、颈前区、胸锁乳突肌后缘、双腹股沟均可触及黄豆至花生米大淋巴结。唇轻度发绀,颈静脉充盈,右下肺背部叩诊浊音。心率124次,心音遥远,心尖区SM Ⅱ°/Ⅵ°。蛙状腹,腹水征(+),肝肋下2cm,剑突下5cm。实验室检查:WBC26,200～34,800,E占50～64%,直接
Patient Lin × ×, male, 55 years old, farmer, hospitalized 20,168.4 months ago repeated bloating, diarrhea, abdominal pain in the past 2 months, plaque mucus bloody stools, with fever, sweating, coughing, palpitations, gas Promote, eye face and lower extremity edema, antibiotics and metronidazole treatment ineffective income hospital. Physical examination: T37.5 ℃, BP94 / 76. Double submandibular, anterior cervical region, sternocleidomastoid muscle posterior margin, double groin can reach soybeans to peanut large lymph nodes. Mild cyanosis of the lips, filling the jugular vein, right lower lung percussion dullness back. Heart rate 124 times, distant heart sounds, apex SM Ⅱ ° / Ⅵ °. Frog belly, signs of ascites (+), liver ribs 2cm, xiphoid 5cm. Laboratory tests: WBC26,200 ~ 34,800, E accounted for 50 ~ 64%, directly