论文部分内容阅读
患者,男,25岁,住院号890149,因反复发热一年余于1989年2月入院。1987年12月开始发热,39～40℃呈弛张或稽留热,伴周身关节酸痛,持续月余,WBC3.9×10~9/L,L40%,ESR125mm/h,肥达氏试验,(一),胸透右下肺纹理增强,EKG 窦速拟为“风湿热”给予抗风湿治疗数月无效。1988年5月咯血一次400ml,本院肺科检查,无阳性体征发现,肾功能正常,胸片两肺纹理增强,见散在大小密度不等的结节影。给予 RIS 方案试验性治疗一月,仍有发热,伴胸痛及左上腹痛,拟示“恶性淋巴瘤”、“转移性肺癌”。1988年6月转江苏省医院,
Patient, male, 25 years old, hospital number 890149, was hospitalized for more than one year because of repeated fever in February 1989. December 1987 fever, 39 ~ 40 ℃ was a remission or missed heat, with peripheral joint pain, more than a month, WBC3.9 × 10 ~ 9 / L, L40%, ESR125mm / h, A), chest right lower right lung enhancement, EKG sinus speed to be “rheumatic fever” given antirheumatic therapy for several months is invalid. May 1988 hemoptysis once 400ml, our hospital pulmonary examination, no positive signs found normal renal function, chest X-ray enhancement of both lungs, see scattered in the size of the density of nodules. Give RIS experimental trial January, there are still fever, with chest pain and left upper abdominal pain, to be shown “malignant lymphoma,” “metastatic lung cancer.” June 1988 to Jiangsu Provincial Hospital,