患儿男,13岁7个月。2010-11-04以“发热伴面色苍白1周”为主诉入住中国医科大学附属第一医院儿科病房。患儿1周前开始无诱因发热伴颈部包块,无触痛,咳嗽无痰,体温最高达39℃,同时伴有面色苍白、乏力,无皮肤黄染,尿色略黄。曾于当地医院就诊,静滴抗炎类药物3d(具体药物不详),病情无好转,化验发现贫血严重。患儿病来时有烦躁,无水肿,睡眠可,精神差,进食差,鼻衄2次,黑便1次,无明显腹痛及尿量减少。 Children male, 13 years and 7 months. 2010-11-04 To “fever with pale 1 week ” mainly complaints admitted to the First Affiliated Hospital of China Medical University pediatric ward. Children with inductive fever and neck mass 1 week ago, no tenderness, cough without sputum, body temperature up to 39 ℃, accompanied by pale, weak, no yellow skin, urine slightly yellow. Had seen at a local hospital, intravenous anti-inflammatory drugs 3d (specific drugs unknown), the condition did not improve, the test found that anemia. Children with irritability, edema, sleep, mental retardation, poor eating, epistaxis 2 times, black stool 1, no significant abdominal pain and decreased urine output.