医者 发表于 2023-8-31 15:16:00

组织细胞性坏死性淋巴炎

患者男,45岁
主诉:咽痛声嘶10余天
现病史:患者于10余天前无明显诱因下出现咽部疼痛,伴声音嘶哑,进行性吞咽困难,无腹痛腹泻,无头晕头痛,无畏寒发热等不适,4天前至医院查血常规:白细胞计数*2.78*10^9/L,中性粒细胞分类77.6%,淋巴细胞分类16.2%,单核细胞分类5.80%,血红蛋白*141g/L,血小板计数*118*10^9/L,未予以治疗,电子鼻咽镜(2022-11-24 11:27):会厌正常,双侧梨状窝开放正常,环后区光滑,双生带活动好,闭合佳。先患者上述症状较前加重,疼痛明显,发声困难。今为进一步治疗来我科就诊,门诊以“白细胞减少”收入院。
发病以来神志清,食欲可,精神可,睡眠差,体力尚可,体重无明显变化,大便正常,小便正常。

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来源:东部院区影像中心公众号
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