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患者女性,于1987年4月感乏力、纳差、发热,体温37～38℃按感冒治疗无效,5月经B超检查发现肝脾增大,按肝炎治疗无效,体温持续在39℃左右,6月发现皮肤巩膜轻度黄染。血沉15mm/h、白血球2200,中性68％,淋巴细胞31％,嗜酸细胞1％,骨髓细菌培养阴性,按黑热病治疗无效,症状加重,并出现腹痛、恶心、呕吐、黄疸加深。检查:体温39℃、脉搏120次,呼吸24次,血压130/80mmHg。发育营养中等,神态清楚,皮肤巩膜黄染,两肺呼吸音粗糙,肝上界在锁骨中线第五肋间,季肋下5cm,脾肋
Female patients, in April 1987 a sense of fatigue, anorexia, fever, body temperature 37 ~ 38 ℃ according to the cold treatment is invalid, in May by B-mode ultrasound found that the liver and spleen increased, according to hepatitis treatment ineffective, body temperature continued at about 39 ℃, 6 Monthly skin sclera found mild yellow dye. ESR 15mm / h, white blood cells 2200, 68% neutral, 31% of lymphocytes, 1% of eosinophils, bone marrow bacterial culture negative, according to the treatment of kala-azar ineffective, aggravated symptoms, and abdominal pain, nausea, vomiting, jaundice deepened. Check: temperature 39 ℃, pulse 120 times, breathing 24 times, blood pressure 130 / 80mmHg. Development of nutrition medium, demeanor clear, scleral yellow skin sclerosis, rough breathing sounds of both lungs, liver in the middle of the clavicle in the fifth intercostal space, quarter ribs 5cm, spleen