患者男,21岁。1988年4月感腰痛,住某院诊断为胺肌劳损,经理疗后症状好转。发病后2个月出现上腹部疼痛,食欲不振,发热 T38～39.8℃,皮肤巩膜黄染,反复鼻衄。经青霉素、输血等治疗无效,日渐衰竭。体检:发育正常,消瘦衰竭状,神志清,皮肤巩膜明显黄染,胸部可见出血点,左锁骨上、双腋下、腹股沟均可扪及1～2cm 大小淋巴 Patient male, 21 years old. April 1988 a sense of low back pain, living in a hospital diagnosed as muscle strain, the symptoms improved after treatment. 2 months after the onset of upper abdominal pain, loss of appetite, fever T38 ~ 39.8 ℃, scleral yellow skin, repeated epistaxis. After penicillin, transfusion and other treatment is ineffective, increasingly depleted. Physical examination: normal development, weight loss failure, clear consciousness, clear sclera skin yellow, visible bleeding in the chest, left supraclavicular, double armpit, groin palpable and 1 ~ 2cm size lymph