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患者,男,21岁。1979年9月17日以左腋下包块半年余入院。开始约蚕豆大包块四个,不痛,逐渐长大。无发热、疲乏、出汗、消瘦等症状。抗菌素治疗无效。既往健康,无慢性疾病史。查体:一般情况好,体温36.8℃,脉搏78次/分,血压120/80毫米汞柱。皮肤、咽喉、心肺、肝脾均无异常发现。左腋下可扪及相互融合的淋巴结,约核桃大,左锁骨上淋巴结一个如黄豆大,质较硬,基底可活动,边界清楚,轻度压痛。化验检查:尿粪常规无异常,血色素13克,红细胞460万,白细胞14000,中性73%,淋巴25%,酸性2%。血小板237000。血沉28毫米/小时。网织红细胞1.8%。肝功:黄疸指数3单位,锌浊13单位,谷丙转氨酶295单位,硷性磷酸酶3卜氏单位。尿酸3毫克%,
Patient, male, 21 years old. September 17, 1979 left armpit mass more than six months admitted to hospital. Began about broad beans block four, no pain, and gradually grow up. No fever, fatigue, sweating, weight loss and other symptoms. Antibiotic treatment ineffective. Past health, no history of chronic diseases. Physical examination: the general situation is good, body temperature 36.8 ℃, pulse 78 beats / min, blood pressure 120/80 mm Hg. Skin, throat, heart and lung, liver and spleen no abnormal findings. Left axillary palpable fusion of the lymph nodes, about large walnuts, left supraclavicular lymph nodes such as soybeans, hard quality, the base can be moved, the border is clear, mild tenderness. Laboratory tests: no abnormal urine manure, hemoglobin 13 grams, 4.6 million erythrocytes, leukocytes 14000, 73% neutral, lymphatic 25%, acid 2%. 237000 platelets. ESR 28 mm / h. Reticulocyte 1.8%. Liver function: jaundice index 3 units, zinc turbidity 13 units, alanine aminotransferase 295 units, alkaline phosphatase 3 Bulls unit. Uric acid 3 mg%