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患者男,76岁。主因发热、贫血3个月伴间断上腹痛20余天于1986年2月26日入院。入院前3个月无何诱因出现乏力、厌油及头晕,后出现发热,多在38℃左右,持续约4小时自然下降。无咽痛、咳嗽、咯血及盗汗。曾在外院检查血红蛋白60g/L,白细胞14×10~9/L。胸片示双肺纹理增重,诊断肺部感染,采用青链霉素治疗症状无改善。后查血红蛋白60g/L,白细胞20×10~9~30×10~9/L.血沉80mm/1小时,血、
Male patient, 76 years old. Mainly due to fever, anemia, 3 months with intermittent upper abdominal pain more than 20 days in February 26, 1986 admission. No inducement 3 months before admission, fatigue, tired of oil and dizziness, fever after more than about 38 ℃, sustained about 4 hours of natural decline. No sore throat, cough, hemoptysis and night sweats. Have checked the outer hospital hemoglobin 60g / L, white blood cells 14 × 10 ~ 9 / L. Chest radiograph showed double lung weight gain, diagnosis of lung infection, no improvement in symptoms with penicillin. After check hemoglobin 60g / L, white blood cells 20 × 10 ~ 9 ~ 30 × 10 ~ 9 / L. Erythrocyte sedimentation rate 80mm / 1 hour, blood,