论文部分内容阅读
骨髓坏死十分少见,国内至今只报道22例。我院最近见到一例,现报道如下: 患者,男性,57岁,以全身骨痛、发热半月入院。入院前有氯霉素用药史,1.5g/d约10日。体检:全腹轻压痛,以上腹明显,无肌紧张。腰椎轻度压痛及叩痛。克氏征(一),巴氏征(一)。实验室检查:Hb75g/L,WBC18×10~9/L,分类:N88%,L12%,BPC80×10~9/L。腰椎穿刺结果:脑压及脑脊液常规与生化检查均正常。肝功能,SGPT65U,总蛋白3.5g%,清蛋白2.3g%,球蛋白1.2g%,AKP68U%(金氏法)。血培养两次
Bone marrow necrosis is very rare, so far only 22 cases reported in China. Our hospital recently saw a case, are reported as follows: Patients, men, 57 years old, with systemic pain, fever half-hospital. Before admission chloramphenicol medication history, 1.5g / d about 10 days. Physical examination: All abdominal tenderness, to the abdomen significantly, no muscle tension. Lumbar mild tenderness and percussion pain. Kirschner sign (a), Pakistan’s sign (a). Laboratory tests: Hb75g / L, WBC18 × 10 ~ 9 / L, classification: N88%, L12%, BPC80 × 10 ~ 9 / L. Lumbar puncture results: Cerebral pressure and cerebrospinal fluid routine and biochemical tests were normal. Liver function, SGPT65U, Total protein 3.5g%, Albumin 2.3g%, Globulin 1.2g%, AKP68U% (King’s method). Blood culture twice