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患者男性,61岁,厨师。因持续发热、咳嗽、腹胀、消瘦1月余于1995年6月6日住入当地医院。T38.5℃左右,咳少量白色粘液痰.当地医院曾予抗炎治疗,左侧胸穿抽得脓性胸水,因治疗效果不佳而转入上级医院。自觉乏力,尿量在800ml左右(较平时减少),身体逐渐消瘦。否认肝炎、肺结核病史,未查过乙肝抗原抗体标记物。曾先后在荷兰、西德作过厨师,近10年来定居西班牙。否认冶游史。体检:T 39.8℃,P110次/分。消瘦,巩膜轻度(?)染,全身浅表淋巴结压痛及肿大。左肺叩诊浊音,呼吸音低,右肺呼吸音粗,心律齐,未闻杂音。腹膨隆,肝脾肋下未及,移动性浊音阳性。病理反射未引出。入院后检测人免疫缺陷病毒(HIV)抗体阳性。明胶颗粒凝集法阳性。蛋白印迹法带型gP160~+、gP66~+、P55~+、gP41~+、P32~+、P24~+、P18~+。血Hb135g/L,
Patient male, 61 years old, chef. Due to persistent fever, cough, bloating, weight loss more than January 6, 1995 admitted to the local hospital. T38.5 ℃, cough a small amount of white mucus sputum .A local hospital had anti-inflammatory treatment, the left chest wear pus pleural effusion, due to poor treatment and transferred to the higher hospital. Conscious fatigue, urine output in about 800ml (usually less), the body gradually weight loss. Denied hepatitis, history of tuberculosis, hepatitis B antigen antibody markers have not been checked. Has worked in the Netherlands, West Germany as chef, settled in Spain for nearly 10 years. Denied the history of the tour. Physical examination: T 39.8 ℃, P110 beats / min. Thin, scleral mild (?) Dye, systemic superficial lymph nodes tenderness and swelling. Left lung percussion dullness, low breath sounds, right lung breath sounds coarse, heart Qi Qi, unheard noises. Abdominal bulge, liver and spleen ribs, and mobility dullness positive. Pathological reflex did not lead. After admission, the test was positive for human immunodeficiency virus (HIV) antibody. Gelatin particle agglutination positive. Western blotting with gP160 ~ +, gP66 ~ +, P55 ~ +, gP41 ~ +, P32 ~ +, P24 ~ +, P18 ~ +. Blood Hb135g / L,