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病历摘要患儿男,1岁。因受凉后反复发热11天入院。体温38～39℃,病初鼻塞流涕咳嗽,近4天来腹泻黄色稀便。曾用青霉素治疗3天,体温正常。4天后体温再次升高,继用青霉素无效。患儿既往健康,无传染病接触史。体检:体温40℃,脉搏140次/min,呼吸32次/min,轻度贫血貌,颌下、腋窝及腹股沟处均触及数个黄豆至花生米大小之淋巴结,活动,质地中等硬。心肺听诊无异常。肝剑
Medical records Male children, 1 year old. Repeated fever due to cold for 11 days after admission. Body temperature 38 ~ 39 ℃, the disease nasal congestion runny nose cough, diarrhea, yellow stools nearly 4 days. Have used penicillin for 3 days, body temperature is normal. 4 days after the body temperature rises again, followed by penicillin ineffective. Children with past health, no contact history of infectious diseases. Physical examination: body temperature 40 ℃, pulse 140 beats / min, breathing 32 beats / min, mild anemia, submandibular, armpit and groin touched several soybeans to peanut-sized lymph nodes, activity, medium texture hard. Cardiopulmonary auscultation no abnormalities. Liver sword