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病史摘要患者男性,40岁,住院号152251。1977年7月23日患者因畏寒、发热、咳嗽,体温30℃～40℃持续不退,在当地医院诊治。血白细胞1400/立方毫米,肥达氏试验“O”1:80、“H”1:160。经合霉素、氯霉素、青霉素、链霉素等抗菌素治疗无效。用地塞米松后热可退,但停药后体温复升。因高热不退并有进行性消瘦、反复鼻衄、牙齦出血来沪诊治,于1977年9月1日入院。入院体检:神清,消瘦,贫血貌,体温40℃,血压120/70毫米汞柱。巩膜无黄染,口腔粘膜有出血点及溃疡,伴霉菌生长。胸骨无压痛,心率100次/分,律齐,心尖区Ⅲ级收缩期吹风样杂音。两肺清晰,肝上界第五肋间,下界锁
History of patients Abstract Male, 40 years old, hospital number 152251. July 23, 1977 patients with chills, fever, cough, body temperature 30 ℃ ~ 40 ℃ continued to return to treatment in the local hospital. Blood leukocyte 1400 / mm3, Wadz test “O” 1:80, “H” 1: 160. Ochomycin, chloramphenicol, penicillin, streptomycin and other antibiotics treatment is invalid. With dexamethasone heat retreat, but the temperature rise after withdrawal. Because of high fever and progressive thinness, repeated epistaxis, bleeding gums to Shanghai diagnosis and treatment, in September 1, 1977 admission. Admission medical examination: Shen Qing, weight loss, anemia appearance, body temperature 40 ℃, blood pressure 120/70 mm Hg. Sclera no yellow dye, oral mucosa bleeding and ulcers, with mold growth. No tenderness of the sternum, heart rate 100 beats / min, law Qi, apical Ⅲ grade systolic hair-like murmur. Clear lungs, the upper limit of the fifth intercostal space, the lower boundary lock