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患者男性,10岁。因间断性鼻衄2年,颈部包块半年入院.2年前患儿无明显诱因出现间断性鼻衄,20～30天一次,每次约1～5ml,暗红色.半年前出现颈部包块,无胀痛。无明显增大趋势,继之出现全身浅表淋巴结肿大。近3月鼻衄加重,2～3天一次,最多的一次出血约达200ml,伴发热和进行性消瘦。近20天来全身浮肿.检查:T38.4℃,P108次/分,R28次/分,BP100/70mmHg。患儿贫血貌,全身浅表淋巴结肿大,黄豆至蚕豆大,质中等硬,边边界清,轻压痛,可移动。心肺无明显异常;
Male patient, 10 years old. Due to intermittent epistaxis 2 years, neck mass six months admitted to hospital 2 years ago, no obvious incentive for children with intermittent epistaxis, 20 to 30 days, each about 1 ~ 5ml, dark red. Mass, no pain and pain. No significant increase in the trend, followed by systemic superficial lymph nodes. Nasal congestion in recent March, 2 to 3 days, up to a maximum of about 200ml of bleeding, with fever and progressive weight loss. Edema in the past 20 days. Check: T38.4 ℃, P108 times / min, R28 times / min, BP100 / 70mmHg. Children with anemia appearance, systemic superficial lymph nodes, soybeans to broad beans, medium hard, clear border, light tenderness, removable. No significant abnormal heart and lung;