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患儿女,10岁,因发热咳嗽一周,伴盗汗乏力消瘦入院。查体:面色灰白,精神软弱。肋间隙饱满,呼吸运动减弱,叩之浊音,两肺呼吸音低;心律齐,心音有力。腹胀,肝脾未及。实验室检查:WBC 8.2×10~9/L,N0.73,L0.23,Hb 7g/L,RBC 2.15×10~(12)/L,抗“0”<500U,类风湿因子(一),血沉100mm/h。胸片示胸腔积液。胸水:比重1.020,蛋白定性(+),细胞数600/mm~3;涂片查结核菌(一);培养无细菌生长。入院后经三周抗结核治疗,无明显疗效。继而改为抗风湿治疗三周,仍无效。停用全部药物,考虑蛔虫感
Children with children, 10 years old, cough for fever for one week, accompanied by sweat fatigue and weight loss admission. Physical examination: looking pale, weak spirit. Full intercostal space, decreased respiratory activity, percussion of the voiced sound, low lungs breath sounds; Qi Qi, powerful heart sounds. Bloating, liver and spleen not yet. Laboratory tests: WBC 8.2 × 10 ~ 9 / L, N0.73, L0.23, Hb 7g / L, RBC 2.15 × 10-12 / L, anti “0 ” <500U, rheumatoid factor A), erythrocyte sedimentation rate 100mm / h. Chest radiograph showed pleural effusion. Pleural effusion: the proportion of 1.020, qualitative protein (+), the number of cells 600 / mm ~ 3; smear check TB (a); culture without bacterial growth. After three weeks of anti-TB treatment after admission, no significant effect. Then changed to anti-rheumatic treatment for three weeks, still invalid. Disable all drugs, consider ascaris sense