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病例报告 例1,女,7岁,2年前发现左颈部有蚕豆大肿物,近1年逐渐增大,无疼痛,时有低热,盗汗。平素喜爱玩猫,有密切接触史,曾被猫抓伤过。查体:左颈、耳后可触及大小不等的肿大淋巴结10余个,质中等硬度,活动尚可,压痛(+),头被迫右倾,临床诊断结核。于1987年8月行淋巴结切除述,切除大小不等有完整包膜的淋巴结10余个,大者5×3×3cm,小者2×1×1cm,病理报告:猫抓病(Ⅱ期)。术后10天痊愈出院。 例2,男,30岁,双侧颈部淋巴结肿大1年,伴低热乏力,周身不适,当地医院确诊为“亚性淋巴瘤”,介绍来我院。查体:体温:37.6℃,双侧颈部
Case report 1, female, 7 years old, two years ago found that the left neck with broad bean broad masses, nearly 1 year gradually increased, no pain, sometimes fever, night sweats. Usually like to play cats, have close contact with history, had cat scratch. Physical examination: the left neck, ear and palpable after the size of the enlarged lymph nodes more than 10, medium medium hardness, activity is acceptable, tenderness (+), the head was forced to the right, the clinical diagnosis of tuberculosis. In August 1987, lymph node dissection was performed to excise more than 10 complete lymphatic nodes ranging in size from 5 × 3 × 3 cm to 2 × 1 × 1 cm. The pathological report was cat scratch disease (stage Ⅱ) . After 10 days cured and discharged. Example 2, male, 30 years old, bilateral neck lymph node enlargement for 1 year, with low fever, whole body discomfort, the local hospital diagnosed as “sub-lymphoma,” introduced to our hospital. Physical examination: body temperature: 37.6 ℃, bilateral neck