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主治医师:现在讨论疑难病例,请负责医生报告病历。实习医师:患者男、18岁,因间断发热伴肝脾大两年半于1982年1月18日入院。于两年半以前,无明显诱因开始间断高热,呈弛张热型,最高达40℃,每次发热持续时间不等,渐渐出现头昏、乏力、面色苍白,曾在县医院住院,诊断不明。当时发现肝脾明显肿大,肝功正常,白细胞减少,治疗无效。于1979年9月转我院儿科,症状同前,伴轻咳,右腹股沟和左腋下可触及1—2个花生米大小淋巴结,右胸下部可闻捻发音,肝脾中等度肿大。化验:血红蛋白9克％,白细胞1500,未见幼稚
Attending physician: Now discuss the difficult cases, please be responsible for the doctor report medical records. Intern: Patient Male, 18 years old, admitted to hospital on January 18, 1982 due to intermittent fever with hepatosplenomegaly for two and a half years. Two and a half years ago, no obvious incentive to start intermittent fever, was heat-relaxation type, up to 40 ℃, each duration of fever ranging from gradually dizziness, fatigue, pale, hospitalized in the county, the diagnosis is unknown . Liver and spleen was found to be significantly enlarged, normal liver function, leukopenia, treatment ineffective. In 1979 September transferred to our hospital pediatric, symptoms with the former, with light cough, right groin and left armpit can reach 1-2 peanuts size lymph nodes, the right chest can smell the next twist pronunciation, moderate enlargement of the liver and spleen. Laboratory tests: 9 grams of hemoglobin, white blood cells 1500, no childish