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患者唐××,男性,43岁。因间歇性腹痛、畏寒发热3~+月于1985年4月26日入院。3~+月前无明显诱因出现上腹部阵发性绞痛,无放射痛,继之畏寒发热,体温达39℃以上,且伴腹泻、解粘液便,每日4～7次,量少,住本系统医院诊断为“胰腺炎”,经抗炎、对症治疗1周缓解出院。2月前再次出现上述症状,体温达40℃,第二次住本系统医院,经系统的血、尿淀粉酶测定、血培养、胸片、胃肠钡餐检查,胆囊、胆管造影,B 型超声等检查无阳性发现,肝功能;仅 GPT 轻度升高,对症及抗炎治疗无明显效果。1985年4月26日以腹痛原因、肝炎?转入我院。病后食欲不振、乏力、体重减轻3公斤。既往体健,否认肝炎、结核史。家中无类似疾患。检查:体温39.7℃,急性病容、痛苦貌、
Tang × × patients, male, 43 years old. Due to intermittent abdominal pain, chills and fever 3 ~ + month in April 26, 1985 admission. 3 ~ + months ago there was no obvious incentive for paroxysmal supination of upper abdominal pain, no radiating pain, followed by chills and fever, body temperature of 39 ℃ or more, and with diarrhea, mucus solution, daily 4 to 7 times, less , The hospital system diagnosed as “pancreatitis”, the anti-inflammatory, symptomatic treatment of 1 week ease discharge. 2 months ago, the above symptoms again, body temperature of 40 ℃, the second live in the hospital system, the system of blood, urine amylase determination, blood culture, chest X-ray, gastrointestinal barium meal examination, gallbladder, cholangiography, B ultrasound No positive findings such as detection, liver function; only mildly elevated GPT, symptomatic and anti-inflammatory treatment no significant effect. April 26, 1985 to abdominal pain, hepatitis? Transferred to our hospital. Loss of appetite after illness, fatigue, weight loss of 3 kg. Past physical health, denied hepatitis, tuberculosis history. No similar illness at home. Check: body temperature 39.7 ℃, acute disease, painful appearance,