患者女,34岁。左上腹硬块拌上腹饱胀,食欲下降两个月,于1986年1月6日入院。体检:消瘦,全身浅表淋巴结不肿大;腹丰满,肝肋下3cm,质软光滑;脾脏肿大,内齐中线,下界脐下1cm,质硬,表面不平,压痛,稍活动。实验室检查血常规、血小板计数及肝功均正常。临床拟诊:充血性脾肿大;脾肿瘤于1月11日行剖腹探查。术中见脾大29×12×7cm,质硬结节状,探 Female patient, 34 years old. Left upper quadrant lumps mixed with abdominal fullness, loss of appetite for two months, January 6, 1986 admission. Physical examination: weight loss, systemic superficial lymph nodes are not enlarged; abdominal fullness, hepatic ribs under 3cm, soft and smooth; spleen enlargement, Nei Qi midline, lower bound below the umbilicus 1cm, hard, uneven surface, tenderness, slightly activity. Laboratory tests of blood, platelet count and liver function were normal. Clinical diagnosis: congestive splenomegaly; splenectomy on January 11 laparotomy. Spleen surgery see 29 × 12 × 7cm, hard nodular, exploration