本院最近用肝穿刺活体组织检查发现1例肝结核,因不典型,曾一度误诊为肝炎。经确诊后,进行抗结核治疗,获得显著进步,兹报告于下:患者,男,35岁,已婚,于1964年2月15日入院。主诉:十天来发冶发烧,畏寒,出汗不多,体温38°—39℃,疲乏无力,全身酸痛,食欲极差,伴有腹胀,无腹痛,大小便正常。既往有疟疾及慢性前列腺炎史,无结核与肝炎史。体检:体温37.2℃,脉搏60次/分,呼吸19次/分,血压110/70毫米汞柱,发育正常,营养中等,无皮疹,右手背部有一不典型之蜘蛛痣,左腋下可扪及一花生米大小之淋巴结,活动,略有压痛,巩膜无黄染,心肺正常,腹软,肝脾刚触及,软,无压痛及叩痛。反射正常。化验:血红蛋白15.8克,红细胞489万。白细胞4400,中性52%,嗜酸2%,单核2%,淋巴42%,异形淋巴4%,血小板114000,出血时间1分30秒,凝血时间1分30秒,大小便检查阴性,血沉一小时11毫米,嗜异性凝集试验(一),冷凝集试验(一),肥达氏及外裴氏反应(一),二次血培养均(一),凝血酶元时间15秒,对照 Our hospital recently liver biopsy biopsy found 1 case of liver tuberculosis, atypical, once misdiagnosed as hepatitis. After the diagnosis, anti-TB treatment, made significant progress, it is reported below: The patient, male, 35 years old, married, on February 15, 1964 admission. Chief Complaint: Ten days to send the rule of fever, chills, sweating few body temperature 38 ° -39 ℃, fatigue, body aches, poor appetite, accompanied by abdominal distension, abdominal pain, normal urine. Past history of malaria and chronic prostatitis, no history of tuberculosis and hepatitis. Physical examination: body temperature 37.2 ℃, pulse 60 beats / min, breathing 19 beats / min, blood pressure 110/70 mm Hg, normal development, moderate nutrition, no rash, there is an atypical spider nevus on the back of his right hand, left underarm palpable A peanut-sized lymph nodes, activity, a slight tenderness, sclera no yellow dye, normal heart and lung, abdominal soft, liver and spleen just touch, soft, no tenderness and percussion pain. Reflex normal. Laboratory tests: Hemoglobin 15.8 grams, 4.99 million red blood cells. White blood cells 4400, neutral 52%, 2% eosinophilic, mononuclear 2%, lymphoid 42%, 4% shaped lymph, platelet 114000, bleeding time 1 minute 30 seconds, clotting time 1 minute 30 seconds, urine test negative, ESR One hour 11 mm, heterophile agglutination test (a), cold agglutination test (a), Widal and external Pei reaction (a), secondary blood culture were (a), thrombin time 15 seconds, control