病历摘要患者男,57岁,1989年4月15日入院。患者诉于15个月前无明显原因发热,伴畏寒及轻咳,在当地医院就诊用红霉素,白霉素,先锋Ⅴ号静滴及口服麦迪霉素交替,效果不佳。用地塞米松静脉或肌肉注射后体温可降至正常,停药后短期内再度上升。后发现颈部淋巴结肿大,曾到两所医院作过骨髓穿 Patient summary Male patient, 57 years old, was admitted to hospital on April 15, 1989. Patient v. 15 months ago, no obvious cause of fever, with chills and light cough, at the local hospital treatment with erythromycin, leukomycin, Pioneer Ⅴ intravenous and oral midecamycin alternating, the effect is not good. With dexamethasone intravenous or intramuscular injection body temperature can be reduced to normal, discontinued shortly after the rise again. After the discovery of cervical lymph nodes, had been to the two hospitals for bone marrow wear