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罗××,男,8岁,住中村公社,住院号87537。因全身多发性皮下结节16个月。头痛、呕吐7天,于1979年2月入院。患儿自1977年10月开始皮下分批出现结节,可逐渐自行消失,无痛,偶有发热。近7天伴头痛,纳差,呕吐。病前摄食当地宰杀的猪肉。其妹5岁,与患儿同时进食。同样发病,只皮下结节较患儿为少。体检:神清,发育迟缓,营养欠佳。皮下结节多分布于躯干及头面部,四肢稀少,手足无结节。结节每粒直径约0.5～1.0cm,质坚,呈圆形或椭圆形,与周围组织无粘连,无压痛,表面不红,可扪及不易察见、个别破损的可挤出囊液。浅淋巴结无病理性肿大。心肺(一),肝大4cm,质实,脾未触及。神经系统正常。检验:血红蛋白10克％,白细胞20500,中性分叶核15％。淋巴23％,嗜酸61％,单核1％。血沉
Luo XX, male, 8 years old, lives in village commune, hospital number 87537. Due to systemic multiple subcutaneous nodules 16 months. Headache, vomiting for 7 days, admitted to hospital in February 1979. Children from the beginning of October 1977 subcutaneous nodules appear in batches, can gradually disappear on their own, painless, occasional fever. Nearly 7 days with headache, anorexia, vomiting. Pre-consumption of the local slaughtered pork. The younger sister is 5 years old, eating with the child at the same time. The same incidence, only subcutaneous nodules less than children. Physical examination: God clear, stunted, poor nutrition. Subcutaneous nodules and more distributed in the trunk and head and face, sparse limbs, hands and feet without nodules. Nodules each about 0.5 ~ 1.0cm in diameter, quality firm, round or oval, with no adhesions to the surrounding tissue, no tenderness, the surface is not red, palpable and not easy to see, can be broken out of individual liquid. Shallow lymph nodes without pathological enlargement. Cardiopulmonary (a), liver 4cm, quality, spleen not touched. Nervous system is normal. Test: 10 grams of hemoglobin, white blood cells 20500, 15% of neutral leaf core. Lymph 23%, eosinophilic 61%, mononuclear 1%. ESR