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病历摘要王某,女、42岁、农民。因四肢末端及面部遇冷后发绀,温暖后可消失,呈反复发作2月余,不规则发热伴左上腹块1月余于1979年2月26日入院。患者于2月前的一天早晨在田间劳动时,因天气转冷,发生面部及手足发绀,即回家休息、取暖,发绀现象随之消失。自此之后,每当遇冷后此种现象反复发生。近1月来不规则发热,体温38～39.5℃,曾应用青、链、庆大霉素及中药等治疗无效。当地医生检查发现左上腹块逐渐增大,因诊断不明而转来南通医学院附属医院。
Medical records Wang, female, 42 years old, farmer. Due to extremities and facial cyanosis after the cold, warm can disappear, was recurrent episodes of more than 2 months, irregular fever with left upper abdomen in January more than February 26, 1979 admission. When the patient worked in the field one morning before February, the face turned cold and the hands and feet were cyanotic. That is, they went home to rest, heat and cyanosis disappeared. Since then, this phenomenon has repeatedly taken place whenever the weather is cold. Irregular fever in the past January, body temperature 38 ~ 39.5 ℃, green, chain, gentamicin and traditional Chinese medicine treatment ineffective. Local doctors found that the left upper abdominal block gradually increased, due to unknown diagnosis and transferred to Nantong Medical College Hospital.