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患者,女性,33岁。因右下腹持续性疼痛10多天伴畏寒,高热、恶心呕吐于1985年5月4日入院。体检:两侧颈下部及锁骨上窝均可触及花生米及黄豆大小淋巴结各5～6颗,质中,无粘连,可移动,无压痛。脐下偏右压痛。反跳痛(±),轻度肌卫。妇科检查正常。肝肋下2cm,质软、压痛(-)。脾肋下1.5cm,质中。实验室检查:血WBC10～15×10~9/L,N65～84％。ESR50mm/h,ZnTT13u,总蛋白T62g/L,A/G=2.9/3.3。C-RP(+),抗核抗体1∶40.骨髓检查报告:粒系左移,有中毒颗粒.
Patient, female, 33 years old. Due to the right lower quadrant persistent pain more than 10 days with chills, fever, nausea and vomiting in May 4, 1985 admission. Physical examination: both sides of the lower neck and supraclavicular fossa and peanuts can reach the size of 5 to 6 small and large lymph nodes, quality, no adhesions, removable, no tenderness. Right under the umbilicus tenderness. Bounce pain (±), mild muscle Wei. Gynecological examination is normal. Liver ribs 2cm, soft, tender (-). Spleen rib 1.5cm, quality. Laboratory tests: blood WBC10 ~ 15 × 10 ~ 9 / L, N65 ~ 84%. ESR 50mm / h, ZnTT13u, total protein T62g / L, A / G = 2.9 / 3.3. C-RP (+), antinuclear antibody 1:40. Bone marrow examination report: Particle left, poisoning particles.