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患儿,女,4岁6个月,主因发热7 d,发现颈部淋巴结肿大4 d于2015年1月19日入院。患儿于入院前7 d无明显诱因出现发热,体温波动在36.5~39.0℃,无寒颤及惊厥,无咳嗽及咯痰,无流涕及鼻阻,无呕吐及腹泻,入院前4 d发现颈部及颌下可触及肿大淋巴结,无明显压痛,3 d前查血常规:白细胞(WBC)10.2×10~9/L,红细胞(RBC)4.88×10~(12)/L,血红蛋白(HGB)126 g/L,血小板(PLT)119×10~9/L,淋巴细胞(L)
Children and women, aged 4 and 6 months, the main cause of fever 7 d, found that cervical lymph node enlargement 4 d on January 19, 2015 admission. There was no obvious predisposition for fever in children 7 days before admission, the body temperature fluctuated between 36.5 and 39.0 ℃, no chills and convulsions, no cough and expectoration, no runny nose and nasal obstruction, no vomiting and diarrhea. The neck was found 4 days before admission Department and submandibular palpable lymph nodes, no significant tenderness, 3 d before the blood test: WBC 10.2 × 10 ~ 9 / L, red blood cells (RBC) 4.88 × 10 12 / L, hemoglobin (HGB ) 126 g / L, platelet (PLT) 119 × 10 ~ 9 / L, lymphocytes (L)