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患者男,13岁,住院号167542。发烧伴腹痛、面色苍白,乏力6天于1991年9月14日入院。其母9年前因风心、肾炎病故。查体:T38.6℃,面色苍黄,全身浅表淋巴结无肿大.第一心音有力,心率84次/min,律齐,心尖部闻及Ⅱ/Ⅵ级sm,柔和吹风样,不传导。两肺正常,肝肋下3cm、剑下4cm,脾肋下4.5cm,边钝质偏中,有触痛,四肢关节(一)。实验室检查:Hb72g/L,RBC247×10~(12)/L,WBC13.4×10~9/L,N0.81,L0.19,ESR130mm/h。ASO1000U,MP16mg％,CRP(+),RF<1:20。血清蛋白电泳:白蛋白45％,球蛋白2.4％,α_213％,β10％,γ28％。C_31.737g/L,lgA>29.702g/L,IgG>4.726g/L,IgM1.851
Patient male, 13 years old, hospital number 167542. Fever with abdominal pain, pale, fatigue six days in September 14, 1991 admission. Its mother nine years ago because of wind, nephritis disease. Check body: T38.6 ℃, pale yellow, no swelling of the superficial lymph nodes of the body.First heart sound, heart rate 84 beats / min, law Qi, apical smell and Ⅱ / Ⅵ sm, soft hair style, no conduction . Normal lungs, ribs under the liver 3cm, 4cm under the sword, spleen rib 4.5cm, while the side of the blunt, tenderness, limbs and joints (a). Laboratory tests: Hb72g / L, RBC247 × 10 ~ (12) / L, WBC13.4 × 10 ~ 9/L, N0.81, L0.19, ESR130mm / h. ASO 1000U, MP 16 mg%, CRP (+), RF <1:20. Serum protein electrophoresis: albumin 45%, globulin 2.4%, α_213%, β10%, γ28%. C_31.737g / L, lgA> 29.702g / L, IgG> 4.726g / L, IgM1.851