病史摘要 男,17月。因发热、腹块伴消瘦1个月于1992年4月1日入院。1个月来体温波动38～41℃,热型不规则,无寒战,无抽搐,病后1周曾以腹部肿块(?)查住外院,经抗生素等治疗半月,体温未能控制自动出院。病后食欲差,面色萎黄,进行性消瘦伴腹膨隆,未见出血倾向。无头痛、呕吐、咳嗽、气促。未接种过卡介苗。母痴呆,有咯血史,患儿从小寄养。体检:T39℃,R26次/分,体重9kg。神清,精神软弱, Summary of medical history Male, 17 months. Due to fever, abdominal mass with weight loss 1 month on April 1, 1992 admission. 1 month to 38 ~ 41 ℃ temperature fluctuations, irregular heat, no chills, no convulsions, 1 week after the disease had abdominal mass (?) Check out the outer hospital, antibiotics and other treatment for half a month, body temperature failed to control the automatic discharge. Poor appetite after illness, pale complexion, progressive thinning with abdominal bulging, no bleeding tendency. No headache, vomiting, cough, shortness of breath. Not vaccinated BCG. Mother dementia, history of hemoptysis, children with foster care. Physical examination: T39 ℃, R26 times / min, weight 9kg. Clear, weak spirit,