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患者男,21岁,因发热(体温39~41℃,呈弛张热型),伴腹胀、腹部间断钝痛、食欲差3周入院。入院前曾多次于其他医院就诊,给予头孢类药物治疗,未见好转。此患者系四川来衡水打工者。入院查体:体温40.5℃,贫血貌,意识清楚但精神很差,双侧颈部、腹股沟可触及多肿大的淋巴结,质中,活动度可,有触痛,心肺无异常发现,肝大,于肋下缘6cm,剑下44cm可触及,质软,轻压痛,脾第一测量线12.5cm,第2测量线14.5cm,第3测量线-2.5cm,
The patient, male, 21 years old, was admitted to hospital for 3 weeks because of fever (body temperature 39-41 ℃, remittent fever type), abdominal distension, dull abdominal abdomen, and poor appetite. Many times before admission to other hospitals, giving cephalosporins treatment, no improvement. This patient is Sichuan to Hengshui workers. Admission examination: body temperature 40.5 ℃, anemia appearance, awareness but poor spirit, bilateral neck, groin can reach more swollen lymph nodes, quality, mobility, tenderness, no abnormal heart and lung findings, hepatomegaly , At the lower edge of the ribs 6cm, 44cm under the sword can be touched, soft, light tenderness, spleen first measurement line 12.5cm, the second measurement line 14.5cm, the third measurement line -2.5cm,