男,17岁,住院号94806。因全身表浅淋巴结进行性肿大伴骨痛半月余,于1985年2月9日入院。同年1月15日发现双颌下淋巴结似黄豆大,轻压痛,无发热。1月27日头晕、乏力、全身骨痛,鼻衄。表浅淋巴结均似蚕豆大小。2月9日症状加重,体温38℃,入院治疗。体查:体温38.3℃。脉搏116次,呼吸24次,血压110/76。急性痛苦病容。皮肤散在出血斑。表浅淋巴结似蚕豆大小,硬,有触痛。鼻腔陈旧性血迹。口唇苍白。颈粗大。胸骨压痛(++),心肺阴性。肝肋下5cm,脾肋下1.5cm,胫骨压痛(+)。实验室检查:血红蛋白11g,红细胞470万,白细胞396000,分类:原淋31.5％,幼淋60.5％,淋巴4％,杆状0.5％,中性分叶核3.5％。血尿酸7.4mg％, Male, 17 years old, hospital number 94806. Due to systemic superficial lymph nodes progressive enlargement with pain more than half a month, February 9, 1985 admission. January 15 the same year found that submucosal lymph nodes like soybeans, light tenderness, no fever. January 27 dizziness, fatigue, body pain, epistaxis. Superficial lymph nodes are similar to the size of beans. February 9 symptoms worsened, body temperature 38 ℃, admission treatment. Physical examination: body temperature 38.3 ℃. 116 pulses, breath 24 times, blood pressure 110/76. Acute pain and sickness. Skin scattered in the bleeding spots. Superficial lymph nodes like broad bean size, hard, tenderness. Nasal old blood. Pale lips. Neck thick. Sternal tenderness (++), cardiopulmonary negative. Liver ribs 5cm, 1.5cm spleen ribs, tibial tenderness (+). Laboratory tests: Hemoglobin 11g, erythrocytes 4.7 million, white blood cells 396000, Category: original leaching 31.5%, young leaching 60.5%, lymphatic 4%, rod 0.5%, neutral lobular 3.5%. Blood uric acid 7.4mg%