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例1:男性,14岁,学生。因右腋下肿块伴低热、盗汗一月余于1994年10月18日入院。患儿二个月前在家中因逗玩家猫右手背被猫抓伤,当时仅有伤处皮肤红肿,一周后自然消退。曾在当地医院求诊,拟为“右腋下淋巴结炎”,给于青霉素,先锋霉素Ⅱ号治疗五天,无明显改善。体检:T37.6℃,P80次/分,R18次/分,BP13/9kpa。精神萎糜,右腋下触及6×5厘米大小淋巴结,质中、压痛、固定、边界尚清,中央有波动感,左侧腋下扪及数个黄豆大小的淋巴结,肝肋下未及,脾肋下一横指,轻压痛。胸片示右腋下软组织块影。血常规Hb120/L,RBC4×10~12/L,WBC6.5×109/L,N0.5,L0.45,E0.05,ESR35mm/h,肝肾功能正常。入院后又给予青霉素、
Example 1: Male, 14 years old, student. Due to the right axillary mass with fever, night sweats more than January 1994, admitted to hospital on October 18, 1994. Two months ago, the cat was injured in the right cat’s back because of the amusing cat in the home. At that time, only the wounds were swollen and the skin faded after one week. Has been in the local hospital for treatment, to be “right underarm lymphadenitis” to penicillin, cephalosporin II treatment for five days, no significant improvement. Physical examination: T37.6 ℃, P80 beats / min, R18 beats / min, BP13 / 9kpa. Spirit wilt, the right axillary reach 6 × 5 cm size lymph nodes, quality, tenderness, fixed, the border is clear, the central fluctuations, the left axilla palpation of several soybean-sized lymph nodes, liver ribs under, Spleen ribs under one finger, light tenderness. Chest radiograph showed the right axillary soft tissue block shadow. Blood routine Hb120 / L, RBC4 × 10-12 / L, WBC6.5 × 109 / L, N0.5, L0.45, E0.05, ESR35mm / h, liver and kidney function is normal. Admitted to penicillin after admission,