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原发性骨髓纤维化既往认为少见,近年来由于对本病认识之提高和简易骨髓活检方法之普及,发现逐渐增多。我院近四年来中西医结合治疗7例,报道如下。一、病例简介例1 住院号87835,女,63岁,1974年4月3日入院。头晕、面色苍白10年余,二年来加重,并发现左上腹部有一肿块。查体:右颌下及右腋下淋巴结轻度肿大,心尖区轻度收缩期杂音。肝肋缘下1厘米,脾肋缘下8厘米。肝功能(包括胆红素、范登伯试验,转氨酶)正常,清蛋白3.9克％,球蛋白2.0％。先后4次骨髓穿刺均干抽,活检(病理号74—808)证实诊断。四肢及骨盆X线片无异常。
Primary myelofibrosis in the past that is rare, in recent years because of increased awareness of the disease and the popularity of simple bone marrow biopsy, found that gradually increased. Our hospital in the past four years, seven cases of Integrative Medicine, reported as follows. First, the case description Example 1 hospital number 87835, female, 63 years old, April 3, 1974 admission. Dizzy, pale more than 10 years, two years to aggravate, and found a lump on the left upper abdomen. Physical examination: mild submandibular and right axillary lymph node enlargement, apical mild systolic murmur. 1 cm below the liver margin, 8 cm below the splenic margin. Liver function (including bilirubin, van den Berg test, aminotransferase) normal, albumin 3.9 g%, globulin 2.0%. Has 4 times bone marrow puncture are dry pumping, biopsy (pathological number 74-808) confirm the diagnosis. Limbs and pelvis X-ray no abnormalities.