病人男性,77岁。因“纳差、乏力、头晕伴中上腹不适5d”于2011-02-19入院。查体:重度贫血貌。腹平软,肝脾肋下未及。无压痛、反跳痛,无肌卫,未扪及明显包快。无肝肾区叩痛,移动性浊音阴性。肠鸣音正常。双侧腹股沟淋巴结肿大。血白细胞6.1×109/L,红细胞1.97×1012/L,血 Patient Male, 77 years old. Because of “anorexia, fatigue, dizziness with abdominal discomfort 5d ” in 2011-02-19 admission. Physical examination: severe anemia appearance. Abdomen soft, liver and spleen ribs have not yet. No tenderness, rebound tenderness, no muscular, not palpable obvious package fast. No liver and kidney area percussion pain, mobility dullness negative. Bowel sounds normal. Bilateral inguinal lymph nodes. Blood white blood cells 6.1 × 109 / L, red blood cells 1.97 × 1012 / L, blood