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患者:男,21岁。鼻衄、牙龈出血3年;学习能力下降,记忆力减退、言词不清、性格改变1年余。于1986年10月至12月在我院治疗。父母非近亲结婚,其兄死于“精神病”,病史不详。体检:表情淡漠,呈“面具脸”样。张口、流涎,反应迟钝。肝不大,脾肋下4cm。全身骨骼无压痛,双下肢震颤。化验检查:全血细胞轻度减少。肝功能正常。尿本周氏蛋白阴性,无肾功能损害。两次骨髓
Patient: Male, 21 years old. Epistaxis, bleeding gums 3 years; decreased learning ability, memory loss, vague words, personality changes more than 1 year. In October 1986 to December in our hospital. Parents of non-relatives married, his brother died in “mental illness”, a history of unknown. Physical examination: indifferent expression, was “mask face” kind. Open mouth, drooling, unresponsive. Liver is not large, Spleen ribs 4cm. Whole body no tenderness, tremor of both lower extremities. Laboratory tests: mild decrease in whole blood cells. Liver function is normal. Urine week protein negative, no renal impairment. Bone marrow twice