论文部分内容阅读
病史摘要患儿男,7岁,住院号106383,1981年5月15日入院。于半月前自述咽痛,以后发现颈前部肿胀,伴发热至40℃,在外院经用抗菌素治疗后,体温稍有下降,入院前2天,体温又上升达39℃,颈部肿胀延及左上胸壁。过去史无特殊,父母均体健。体检:一般情况尚可,体温40~5℃(肛温),颈前部左侧有12×4.5厘米实质性肿块,质硬,边缘不清,中心有压痛、无波动,肿块边缘水肿延及前胸壁,颈部活动尚自如。心率120次/分,心肺无异常,腹软,无包块,肝脾无肿大,四肢关节正常,神经系统检查正常,全身淋巴结无明显增大。
A summary of the history of children with male, 7 years old, hospital number 106383, May 15, 1981 admission. Mentioned sore throat after half a month ago, later found anterior neck swelling, with fever to 40 ℃, in the outer hospital after treatment with antibiotics, body temperature decreased slightly, 2 days before admission, body temperature rose again 39 ℃, neck swelling extended Left chest wall. Past history is unique, parents are healthy. Physical examination: the general situation is acceptable, body temperature 40 ~ 5 ℃ (rectal temperature), the left anterior neck 12 × 4.5 cm substantial mass, hard, unclear margin, the center tenderness, no fluctuations, extension of the edge of the tumor extension Anterior chest wall, neck activity is still comfortable. Heart rate 120 beats / min, no abnormal heart and lung, abdominal soft, no mass, no enlarged liver and spleen, normal limbs, joints, normal nervous system examination, no significant increase in lymph nodes.