姜某某,男,54岁.因腰背痛伴不规则发热三个月于1986年8月8日入院.查体:重度贫血貌,呈恶液质状态.心、肺(一),腹呈舟状,肝脾未及.四肢长骨无压痛和叩痛.胸部挤压试验阳性.实验室检查:Hb62g/L,RBC2.02×10~(12)/L.WBC16.3×100/L.可见幼红、幼粒细胞,血小板少见.X 线头颅片示:颅骨呈多发性圆形透光区,边界清楚锐利,无硬化边缘,呈溶骨性“穿凿状”改变.胸片示右第5～10肋骨及左第5～8肋骨呈“虫蚀样”骨质破坏及其病理骨折,两侧肩胛骨关节盂亦呈小虫蚀样骨质破坏.钡餐检查:胃充盈不 Jiang Moumou, male, 54 years old due to low back pain with irregular fever three months admitted on August 8, 1986. Physical examination: severe anemia appearance, the state of cachexia, heart, lung (a), abdomen Was boat-shaped, liver and spleen without.Long limbs without tenderness and percussion pain.Expression of chest compression test.Laboratory examination: Hb62g / L, RBC2.02 × 10 ~ (12) /L.WBC16.3×100/L Visible young red, promyelocytic, platelet rare .X ray head showed: the skull was multiple circular light-transmissive area, the border is clear and sharp, no hardening edge, was osteolytic “chisel-like” change. 5 to 10 ribs and the left 5 to 8 ribs were “worm-like” bone destruction and pathological fractures, both sides of the scapula glenoid cavity was also eclipsed bone destruction. Barium meal examination: filling the stomach is not