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患者男性,65岁,以“发热,胸痛5天”于1997年12月30口入院,查体:T:37.8℃,颌下,枕后,乳突区,颈部,锁骨上,腹股沟区可及多个绿豆至花生米大淋巴结,质中,无压痛,无融合,面部发红,咽充血,右扁桃体一度肿大,右下肺呼吸音减低,脾大肋下2cm,余(—)。实验室检查:血常规:WBC8.4×10~9/L,其中分叶核51％,单核4％,淋巴30％,异淋15％,RBC3.79×10~9/L,HB12.9g/L,PLT87×10~9/L。ESR75mm/h,骨髓相示增生活跃,粒:红为2.1:1,各系统比例正
Male patient, 65 years old, with “fever, chest pain for 5 days” in December 1997, 30 were admitted to the hospital, physical examination: T: 37.8 ℃, submandibular, occipital, mastoid area, neck, supraclavicular, inguinal area And a number of mung bean to peanut large lymph nodes, quality, no tenderness, no fusion, facial redness, pharyngeal congestion, the right tonsils once swollen, lower right lung breath sounds decreased splenomegaly ribs 2cm, I (-). Laboratory tests: blood: WBC8.4 × 10 ~ 9 / L, including lobular 51%, mononuclear 4%, lymph 30%, different leaching 15%, RBC3.79 × 10 ~ 9 / L, HB12. 9g / L, PLT87 × 10 ~ 9 / L. ESR75mm / h, bone marrow showed hyperplasia, granule: red 2.1: 1, the proportion of each system is positive