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患者,男。72岁。因头昏、乏力伴呕吐2周于1990年11月14日入院。体检:T37.4℃,P80次/分,BP12/8kPa,贫血貌,全身皮肤无黄染,出血点及皮疹、浅表淋巴结(-),心肺正常,腹平软,无压痛及包块,肝脾肋下未触及,肠鸣音活跃,脊柱四肢无畸形,病理性反射(-)。实验室检查:Hb 54g/L,WBC 6.7×10~9/L,N57%、L40%、E1%、M2%,PC133×10~9/L,网织红细胞0.06×10~9/L,出凝血时间、血沉及肝肾功能正常,HBsAg(-)。尿常规及尿本周蛋白测定阴性。总蛋白90.8g/L,白蛋白18.2g/L,球蛋白72.6g/L,蛋白电泳示白蛋白
Patient, male. 72 years old. Due to dizziness, fatigue and vomiting 2 weeks in 1990 November 14 admission. Physical examination: T37.4 ℃, P80 beats / min, BP12 / 8kPa, anemia appearance, no skin yellow blemishes, bleeding spots and rashes, superficial lymph nodes (-), normal heart and lungs, Liver and spleen ribs were not touched, bowel sounds active, spine limbs without deformity, pathological reflex (-). Laboratory tests: Hb 54g / L, WBC 6.7 × 10 ~ 9 / L, N57%, L40%, E1%, M2%, PC133 × 10 ~ 9 / L, reticulocyte 0.06 × 10 ~ 9 / L, Clotting time, ESR and normal liver and kidney function, HBsAg (-). Urine routine and urine protein negative this week. Total protein 90.8g / L, albumin 18.2g / L, globulin 72.6g / L, protein electrophoresis showed albumin