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任××,男,16岁,学生,汉族,病志号82—1010。 患者于1979年11月,在行走中不慎被马车碰伤小腿,当时有痛感,但可忍。一月后见局部稍红、肿硬,在当地医院未能确定诊断,局部皮温不高,走路尚可。1981年下半年局部肿胀加重,于1982年2月13日来我院诊治后入院。 体检除骨科检查有左小腿中部轻压痛外,未见其它情况。X线检查见左胫中段4.5×3.5cm椭圆形半侧多房样透光性骨破坏,部分骨膜破坏。诊断:胫骨骨母细胞瘤。血碱性磷酸酶20.5金氏单位。RBC304万/mm~3,Hb 9.9g％;WBC 8100/mm~3,分叶67％,淋巴32％,单核1％;SR 34mm/h。尿常规未见异
Ren Xx, male, 16 years old, student, Han nationality, disease record number 82-1010. In November 1979, the patient was accidentally bumped by the carriage while walking. At that time, there was pain but it was tolerable. After January, I saw that the area was slightly red and swollen. I was unable to confirm the diagnosis at the local hospital. The local skin temperature was not high enough to walk. In the second half of 1981, the local swelling became worse and he was admitted to our hospital after treatment on February 13, 1982. Except orthopedic examination with mild tenderness in the middle of the left leg, no other conditions were observed. X-ray examination showed a half-side multi-room translucent bone destruction of 4.5×3.5 cm in the middle of the left mid-paleolar and partial periosteal destruction. Diagnosis: tibial osteoblastoma. Blood alkaline phosphatase 20.5 gold units. RBC3.04 million/mm~3, Hb 9.9g%; WBC 8100/mm~3, lobar 67%, lymph 32%, mononuclear 1%; SR 34mm/h. No difference in urine routine