患者,男性,52岁。3个月来感乏力,出汗多,有时剑突下痛,日渐加重。1个月前发现脾脏明显肿大,于1972年1月11日转入我院。查体:体温正常,皮肤无黄染及出血,右滑车上可触及2个蚕豆大之淋巴结,质硬。心率80次/分,律齐,心尖部可闻及Ⅱ级收缩期杂音,肺未见特殊,胸骨无压痛。腹部稍膨隆,剑突下轻度压痛,肝肋下约2cm,脾明显肿大,甲乙线15cm,丙丁线23cm,戊己线5cm,质硬, Patient, male, 52 years old. 3 months to feel tired, sweating, and sometimes under the xiphoid pain, increasing. 1 month ago found that the spleen was significantly enlarged, in January 11, 1972 transferred to our hospital. Physical examination: normal body temperature, skin yellowing and bleeding, the right block can reach 2 large beans, lymph nodes, hard. Heart rate 80 beats / min, law Qi, apex can be heard and Ⅱ grade systolic murmur, no special lung, no tenderness in the sternum. Slightly bulging abdomen, mild tenderness under the xiphoid, about 2cm under the liver ribs, spleen was obviously enlarged, A and B lines 15cm, Bing Ding line 23cm, Wu Zhi line 5cm, hard,