1病例报告患者男,29岁。因咳嗽、咽痛5天,发热3天就诊。查体:既往身体健康,有青霉素过敏史;体温38.9℃,脉搏89/min,血压118/70mmHg;神志清楚,咽部明显充血,稍红肿,双侧扁桃体Ⅱ度肿大,表面有少许黄白色脓性分泌物,触诊颈部淋巴结肿大,有压痛;心率89/min,律齐,各瓣膜听诊区未闻及杂音;双肺呼吸音清,未闻及干湿性啰音。血常规检查,白细胞计数12.7×10~9/L,中性粒细胞0.84。诊断为急性扁桃体炎。给予克 1 case report Patient male, 29 years old. Due to cough, sore throat 5 days, fever 3 days treatment. Check the body: past health, a history of penicillin allergy; body temperature 38.9 ℃, pulse 89 / min, blood pressure 118 / 70mmHg; conscious clear throat obvious congestion, a little swelling, bilateral tonsil Ⅱ degree enlargement, the surface a little yellow and white Purulent secretions, palpation of cervical lymph nodes, tenderness; heart rate 89 / min, law Qi, the valve auscultation area did not smell and noise; lung breath sounds clear, unheard and wet and dry rales. Blood tests, white blood cell count 12.7 × 10 ~ 9 / L, neutrophils 0.84. Diagnosis of acute tonsillitis. G