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患者男,37岁。因纳差、乏力消瘦4个月,于1989年9月4日入院。查体:体温36.5℃,呼吸、脉搏、血压均正常,面色苍白,精神欠佳,乏力;全身淋巴结无肿大,心、肺无异常,肝脏未扪及,脾脏明显肿大;实验室检查,WBC 110×10~9/L,原粒0.015、早幼粒0.02、中幼粒0.205、嗜酸0.03、嗜碱0.055、晚幼粒0.16、带状0.12、多核0.305、淋巴0.02、Hb 90g/L,有核红血球4个。骨髓穿刺诊断:慢性粒细胞性白血病。9月6日B超检查,结果:脾脏明显肿大,厚径:8.5cm,长径:16.3cm;于脾中部紧邻脾包膜下见一楔形顶端朝向脾门的低回
Male patient, 37 years old. Due to anorexia, fatigue, weight loss 4 months, on September 4, 1989 admission. Examination: body temperature 36.5 ℃, breathing, pulse, blood pressure were normal, pale, poor health, fatigue; systemic lymph nodes without swelling, heart, lung no abnormalities, the liver is not palpable, the spleen was significantly enlarged; laboratory tests, WBC 110 × 10 ~ 9 / L, original 0.015, prokaryotic 0.02, medium 0.205, eosinophilic 0.03, basophilic 0.055, late promyelocytic 0.16, banded 0.12, multicore 0.305, lymphatic 0.02, Hb 90g / L , 4 nuclear red blood cells. Bone marrow aspiration diagnosis: Chronic myelogenous leukemia. September 6 B-ultrasound, the results: Significant enlargement of the spleen, thickness: 8.5cm, long diameter: 16.3cm; spleen in the middle of the splenic capsule next to see a wedge-shaped top toward the spleen low door