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患男、28岁、已婚、农民。因咳嗽、乏力、舌糜烂1年、发热伴血尿1月入我院。入院检查、慢性病容、口腔舌左缘粘膜呈现裂长2.5cm宽0.2cm裂隙.其内覆盖一层乳白色苔膜。胸部X光片所示:两肺分布较均匀粟粒样阴影。化验:血红蛋白15g/L、红细胞4.74×10~(12)/L白细胞11.0×10~9/L、中性71％、淋巴29％,血沉20mm/L;尿液常规红细胞(+++)、尿沉渣找到抗酸杆
Male, 28 years old, married, farmer. Due to cough, fatigue, tongue erosion 1 year, fever with hematuria into our hospital in January. Admission examination, chronic disease, the left oral mucosa oral mouth 2.5cm long and 0.2cm wide cracks appear, which covered with a layer of milky white coating film. Chest X-ray shows: the two lungs more evenly distributed miliary shadows. Assay: hemoglobin 15g / L, red blood cells 4.74 × 10-12 / L white blood cells 11.0 × 10 ~ 9 / L, neutral 71%, lymph 29%, erythrocyte sedimentation rate 20mm / L; Urine sediment found acid-resistant rod