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患者,女性,26岁,龙上腹部包块伴牙龈、鼻出血6个月。检查:重度贫血面容,左上腹部可触及一巨大肿块,质中等硬,略可推动。B 型超声波检查:左上腹可探及19×13×6cm 肿块。实验室检查:血红蛋白4.5g,白细胞3400,血小板7万。于1988年10月21日在硬膜外麻醉下行脾切除术,术后随访1年,情况良好。病理检查:肉眼所见:脾脏18×11×5cm,剖开脾脏见直径10cm 之球形肿块,有包膜,肿块切面实
Patient, female, 26 years old, upper abdomen mass with gums, epistaxis for 6 months. Check: severe anemia, left upper abdomen can reach a huge mass, medium hard, slightly to promote. B-mode ultrasound: left upper abdomen can explore and 19 × 13 × 6cm mass. Laboratory tests: hemoglobin 4.5g, 3400 white blood cells, platelets 70,000. On October 21, 1988 in the epidural anesthesia underwent splenectomy, follow-up 1 year after surgery, in good condition. Pathological examination: the naked eye can see: Spleen 18 × 11 × 5cm, cut open the spleen to see the diameter of 10cm spherical tumor, a capsule, the lumps of the cut surface is real