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发热为内科最常见的症状之一,但往往不易明确病因。作者近几年遇到5例长期发热病例,均因种种原因未得及时确诊,现报告如下,以期吸取经验教训。 例1 女,41岁。因发热、右侧胸痛5天入院。诊断为败血症、右侧肺炎。体查:体温38℃,心肺无特殊,肝肋下1cm,脾未及。白细胞56.7×10~(?)/L,中性粒细胞91％,以后多次复查血像白细胞为33～20×10~(?)/L,嗜酸性细胞86～70%,SGPT129μ,血沉64mm,胸片示右上肺炎,右侧少量积液。
Fever is one of the most common symptoms of internal medicine, but often not easy to identify the cause. In recent years, the author encountered 5 cases of long-term fever, all due to various reasons not timely diagnosis, are as follows, in order to learn from experience. Example 1 Female, 41 years old. Due to fever, right chest pain 5 days admitted. Diagnosis of sepsis, right pneumonia. Physical examination: body temperature 38 ℃, no special cardiopulmonary, hepatic ribs 1cm, spleen is not. White blood cells 56.7 × 10 ~ (?) / L, neutrophils 91%, after repeated inspection blood leukocytes 33 ~ 20 × 10 ~? / L, eosinophils 86 to 70%, SGPT129μ, ESR 64mm , Chest X-ray showed right pneumonia, a small amount of fluid on the right.