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黄××,女,14岁,住院号83—7594。10个月来反复发热,体温常达39℃,一般间歇半个月发热一次,服中药能退热。6个月前发现左胸壁乳房处有一个小肿物,约鸟蛋大,渐增大,现如鸡蛋大,偶有酸痛,伴疲乏和体重减轻。查体:T37.7℃,营养差,消瘦。心肺无异常发现。在左侧胸壁第4肋靠锁骨中线处有一个肿物约6×4cm~2,表肤不红,无压痛,与皮肤无粘连,质地实,边界清楚,穿刺吸出暗红色血液,可以凝固。脊柱胸段侧弯,左上肢肌肉萎缩。血常规:血红蛋白:10克％,白细胞:7200/mm~3,嗜酸细胞:
Huang × ×, female, 14 years old, hospitalized 83-7594.10 months to repeated fever, body temperature often up to 39 ℃, usually intermittent fever for half a month, taking traditional Chinese medicine can fever. 6 months ago found a small breast at the left chest wall at a small tumor, about a large egg, increasing, now such as large eggs, occasional soreness, with fatigue and weight loss. Physical examination: T37.7 ℃, poor nutrition, weight loss. No abnormal heart and lung findings. The fourth rib in the left chest wall by the midline of the clavicle has a tumor about 6 × 4cm ~ 2, the skin is not red, no tenderness, no adhesion with the skin, the texture is real, clear boundary, puncture aspiration of dark red blood can be solidified. Spinal thoracic scoliosis, left upper limb muscle atrophy. Blood: hemoglobin: 10 g%, white blood cells: 7200 / mm ~ 3, eosinophils: