病历摘要患者杨××,男,31岁,已婚,广东籍,工人。门诊号32188,住院号11560。因持续高热3天于1985年4月5日入院。入院前3天始畏寒、发热,曾服“速效伤风胶囊”等药无效,起病后曾有腰痛,但无尿频、尿急、尿痛。入院前25天右下腹曾疼痛而诊断为“急性阑尾炎”。在我院外科行阑尾切除术,手术经过顺利,阑尾切除后病理诊断为“慢性阑尾炎急发作”(病理号5405)。术后曾有发热、牙龈肿胀,用灭滴灵0.4一日三次,共用8天后体温正常,乃于3月18日出院。出院后第2天又发热达39℃,次日体温恢复正常。既往二年来常有口腔粘膜溃疡反复发作。 Medical record summary patient Yang × ×, male, 31 years old, married, Guangdong citizen, worker. Outpatient number 32188, hospital number 11560. He was hospitalized on April 5, 1985 due to continued high fever for 3 days. 3 days before admission, she began to chills and fever, had served with “quick-effect cold capsules” and other drugs. She had low back pain after onset but had no urinary frequency, urgency, and dysuria. 25 days before admission, the right lower abdomen was painful and diagnosed as “acute appendicitis.” In our hospital for surgical appendectomy, the operation went well and the pathological diagnosis after appendectomy was “chronic appendicitis acute attack” (Path No. 5405). After the operation, there was fever and swelling of the gums. After using metronidazole 0.4 times a day for three times, the body temperature was normal after 8 days. It was discharged on March 18. On the 2nd day after discharge, the fever reached 39°C and the body temperature returned to normal the next day. Repeated episodes of oral mucosal ulceration have been common in the past two years.