论文部分内容阅读
传染性单核细胞增多症并发类白血病反应是一种少见的并发症。现将我院收治的1例报告如下。 患者,男,18岁,因畏寒、不规则发热11天,全身皮肤及尿色变黄4天而入院。体查:T38℃,P120次/分,BP12/8kPa。意识清楚,较烦躁,时有谵妄,皮肤及巩膜中度黄染,全身浅表淋巴结可触及,如黄豆至花生米大,轻度压痛。两侧扁桃体轻度肿大及充血,无异常分泌物,颈软。心肺正常,腹平软,肝肋下1cm,脾肋下4cm,质软,无压痛,神经系统检查除两侧踝阵挛阳性外,余均正常。
Infectious mononucleosis Complicated leukemia is a rare complication. Now in our hospital one case reported as follows. Patient, male, 18 years old, admitted to hospital due to chills, irregular fever for 11 days, generalized skin and urine yellowing for 4 days. Physical examination: T38 ℃, P120 times / min, BP12 / 8kPa. Awareness, more irritability, when delirium, the skin and sclera moderate yellow dye, systemic superficial lymph nodes can be touched, such as soybeans to peanuts, mild tenderness. On both sides of the tonsil mild swelling and congestion, no abnormal secretions, neck soft. Cardiopulmonary normal, abdominal soft, liver ribs 1cm, splenic ribs 4cm, soft, no tenderness, nervous system examination in addition to both sides of the ankle clonus positive, I were normal.