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临床讨论本例特点为:(1)长期间歇性不规则发热,伴有肝、脾及淋巴结肿大。(2)胸部拍片有明确的右上肺结核病灶,范围不大,性质不重,2年来变化不明显。(3)最后2个月发热更频,白细胞及血小板进行性减少,肝、脾进行性肿大。(4)病中有腹痛、腹泻和粘液血便,但大便检查始终未见致病因素。(5)多种抗生素和激素都不能控制发热。(6)最后全身衰竭死亡。根据以上特点,可以考虑如下疾病。一、感染性疾病:患者长期发热,肝、脾及淋巴结肿大,伴腹痛、腹泻及粘液血便,故首先要考虑感染性疾病。从临床表现以及
Clinical discussion of this case features: (1) long-term intermittent irregular fever, accompanied by liver, spleen and lymph nodes. (2) chest film has a clear right upper pulmonary tuberculosis, the scope is not large, the nature is not heavy, 2 years did not change significantly. (3) the last 2 months more frequent fever, white blood cells and platelets decreased, liver, spleen progressive enlargement. (4) the disease has abdominal pain, diarrhea and mucus bloody stool, but stool examination has always been no risk factors. (5) A variety of antibiotics and hormones can not control fever. (6) The last systemic failure death. According to the above characteristics, you can consider the following diseases. First, the infectious diseases: patients with long-term fever, liver, spleen and lymph nodes, with abdominal pain, diarrhea and mucus bloody stools, it is first to consider infectious diseases. From the clinical manifestations as well