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女,18岁。因发热,咳嗽,间有盗汗,伴口腔、外阴溃疡和眼结膜炎3月入院。体查:体温39℃,脉搏120次。呼吸44次,重度贫血,气促。巩膜无黄染,面部少量红点,双眼睑结膜浅表糜烂、充血。口腔粘膜可见5个直径约0.2～0.3cm溃疡,边界清,触痛明显。右上肺有少量湿罗音。心界不大,心尖区Ⅱ级收缩期吹风性杂音。腹平软,肝肋下1.5cm,质中,边钝,轻压痛。脾肋下3cm。双肾区轻叩痛。双侧大阴唇有4个直径约0.2～0.4cm溃疡,周围皮肤红晕,边缘整,溃疡面附有分泌物,触之易出血。血红蛋白50g/L白细胞5.3×10~9/L,
Female, 18 years old. Due to fever, cough, night sweats, accompanied by oral, vulvar ulcers and conjunctivitis in March hospitalization. Physical examination: body temperature 39 ℃, pulse 120 times. Breathing 44 times, severe anemia, shortness of breath. Sclera no yellow dye, a small amount of red spots on the face, double eyelid conjunctival superficial erosion, congestion. Oral mucosa visible five diameter 0.2 ~ 0.3cm ulcer, clear boundary, tenderness significantly. There is a small amount of wet rales in the right upper lung. Insignificant, apical Ⅱ grade systolic hair blowing murmur. Abdomen soft, liver rib 1.5cm, quality, side blunt, light tenderness. Spleen ribs 3cm. Kidney area tapping pain. There are four bilateral labia majora with diameter of 0.2 ~ 0.4cm ulcer around the skin flush, the edge of the whole, ulcers with secretions, easy to touch the bleeding. Hemoglobin 50g / L white blood cells 5.3 × 10 ~ 9 / L,