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患者郑××,男,25岁,消瘦、乏力、伴腰痛一月,鼻衄发热半月。体检:体温38.4℃,脉搏120次/分,呼吸28次/分,血压130/80毫米汞柱。鼻粘膜充血、糜烂。皮肤无出血点。全身浅表淋巴结未触及。肝肋下2cm,质中、表面光、边缘钝。脾未触及。右背肋脊角、右髂后上棘明显压痛。胸部X 线摄片报告:微细支气管肺泡癌。骨髓穿刺3次:第1次“干抽”,第2次(右髂后上棘)抽取微量骨髓液涂片见3～5
Zheng × × patients, male, 25 years old, weight loss, fatigue, with low back pain in January, epistaxis fever half a month. Physical examination: body temperature 38.4 ℃, pulse 120 beats / min, breathing 28 beats / min, blood pressure 130/80 mm Hg. Nasal mucosal congestion, erosion. No bleeding on the skin. Whole body superficial lymph nodes not touched. Liver ribs 2cm, quality, surface light, blunt edge. Spleen not touched. Right dorsal ribs angle, right posterior superior iliac spine obvious tenderness. Chest X-ray report: Microbacial bronchial alveolar carcinoma. Bone marrow aspirate 3 times: the first “dry pumping”, the second (right posterior superior iliac spine) to extract trace amount of bone marrow smear see 3 to 5