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患者男性,50岁.腹胀伴消瘦,乏力半年于1989年8月24日入院.体检:T37℃,消瘦,皮肤无出血,无化脓灶,浅表淋巴结未扪及.心肺听诊正常.腹略隆,软,无压痛,肝肋下5.0cm,剑下6.0cm,脾肋下16cm,质硬,无触痛.血Hb102g/L,WBC220×10~9/L,N70%,中晚幼及带状核22%,原早幼3%,L5%.尿蛋白±,白细胞++++,红细胞(-);尿培养:大肠杆菌生长.B超示肝脾显著肿大、脾短径8.9cm.骨髓像示有核
Male patient, 50 years old. Bloating with weight loss, fatigue half a year on August 24, 1989 admitted. Physical examination: T37 ℃, weight loss, no skin bleeding, no abscesses, superficial lymph nodes palpable. Cardiopulmonary auscultation. , Soft, no tenderness, liver under the ribs 5.0cm, under the sword 6.0cm, 16cm under the spleen ribs, hard, no tenderness. Blood Hb102g / L, WBC220 × 10 ~ 9 / L, N70% Nucleus 22%, the original as early as 3%, L5% urinary protein ±, white blood cells ++++, red blood cells (-); urine culture: E. coli growth .B ultrasound showed significant enlargement of liver and spleen, spleen short diameter 8.9cm The bone marrow shows a nuclear