病例介绍患者 ,男 ,6 5岁 ,因头昏乏力伴发热2周 ,体温 38℃～ 39℃ ,在单位医院输注青霉素 5 d后体温降至正常 ,发现白细胞增高转诊我院。查体 :T 37.2℃ ,P 80次 /min,R 2 0次 /m in,BP 16 /10 k Pa,皮肤粘膜无出血点 ,浅表淋巴结未触及 ,胸骨无压痛 ,心肺无异常 ,肝未触及 , Case presentation patients, male, 65 years old, due to dizziness and fatigue with fever for 2 weeks, body temperature 38 °C ~ 39 °C, in unit hospital infusion of penicillin 5 d after the body temperature dropped to normal, found elevated white blood cells referral to our hospital. Physical examination: T 37.2°C, P 80 beats/min, R 2 0/m in, BP 16 /10 k Pa, no bleeding points in skin and mucous membranes, no palpable lymph nodes, no tenderness in sternum, no abnormalities in heart and lung, liver failure Touched,