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病历摘要患儿男性,1岁。住院号50,512。不规则发热1月余,于1979年1月11日入院。患儿于1月前开始发热,波动于38～39℃,伴稀便,每日5～6次。经服土霉素、婴儿素等泻止,但仍发热。渐见面苍、纳减、消瘦。入院前7天在某医院诊断为“败血症”,用青、链、庆大、红霉素、激素及输液,不见好转,发热达41℃。左耳下发现肿块。体检:体温39.2℃,血压90/70毫米汞柱,发育一般,营养差,衰竭病容,精神萎靡,皮肤苍白,无黄染及淤点。左耳下淋巴结呈核桃大,余表浅淋巴结不大。头
Summary of medical records Male children, 1 year old. Hospital number 50,512. Irregular fever more than 1 month, January 1, 1979 admission. Children with fever in January before the beginning, fluctuations in 38 ~ 39 ℃, with loose stools, 5 to 6 times daily. After serving oxytetracycline, infant prime and other diarrhea, but still fever. Gradually see the face of Cang, satisfied reduction, weight loss. Seven days before admission, a hospital diagnosed as “sepsis”, with green, chain, celebrate large, erythromycin, hormones and infusion, no improvement, fever 41 ℃. Left lumps were found. Physical examination: body temperature 39.2 ℃, blood pressure 90/70 mm Hg, general development, poor nutrition, exhaustion disease, apathetic, pale skin, no yellow dye and bruising. The left ear lymph nodes were walnut, superficial lymph nodes is not large. head