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患者男,83岁.因发热、乏力、尿痛、排尿困难4天而于1990年8月4日入院.查体:一般情况差,全身浅表淋巴结不大,胸骨无压痛,心肺无异常,肝大剑突下5cm,脾未触及;前列腺指诊横径5cm,表面尚平,中央沟消失,质地中等偏硬,有压痛,无明显结节.实验室检查:尿常规:pH5.5,尿糖(±),蛋白(+),潜血(++),酮体(-)。血常规:血红蛋白70g/L,白细胞1.0×10(?)/L,中性0.42,酸性0.02,单核0.06,淋巴0.50,血小板50×10(?)/L,网织红细胞0.3%.肾功能:血肌酐221μmol/L,尿素氮37.4mmol/L.肝功能正常.骨髓象:增生活跃,粒∶红=7.2∶1,粒系增
Male, aged 83. He was admitted to hospital on August 4, 1990 due to fever, fatigue, dysuria and dysuria for 4 days. Physical examination: poor general condition, small superficial lymph nodes throughout the body, no tenderness in the sternum, no abnormalities in the heart and lungs, Liver spigot 5cm, spleen not touched; Prostate referral diameter 5cm, the surface is flat, the central groove disappeared, the texture is medium and hard, tenderness, no obvious nodules. Laboratory tests: Urine: pH5.5, urine Sugar (±), protein (+), occult blood (++), ketone body (-). Blood: hemoglobin 70g / L, white blood cells 1.0 × 10 (?) / L, neutral 0.42, acidic 0.02, mononuclear 0.06, lymph 0.50, platelets 50 × 10 (?) / L, reticulocyte 0.3% : Serum creatinine 221μmol / L, urea nitrogen 37.4mmol / L. Normal liver function. Bone marrow: hyperplasia active, grain: red = 7.2: 1,