1病例资料病例1患者女,25岁,患者因间断腹泻6个月,消瘦46d,发热2d入院。入院查体:T36.5℃,双侧颈前、右侧腹股沟可扪及数枚绿豆至黄豆大小不等淋巴结,无黏连,无压痛。双肺呼吸音粗,未闻及干湿啰音股耘蚵腹肌稍紧张,无明显压痛,有明显反跳痛,左中下腹可扪及一大小约5cm×3cm包块 Case data 1 patients female, 25 years old, patients with intermittent diarrhea for 6 months, 46 days wasting, fever 2d admission. Admission examination: T36.5 ℃, both sides of the neck, the right groin palpable several mung bean to bean size ranging from lymph nodes, no adhesions, no tenderness. The lungs breath sound coarse, unheard-of wet and dry rales share Yun 蚵 abdominal muscles a little nervous, no significant tenderness, significant rebound tenderness, palpable left middle lower abdomen and a size of about 5cm × 3cm mass