反应性浆细胞样淋巴细胞增多,国内鲜有报道,我院收治1例,报告如下。宋某,女性,58岁。因胸痛、咳嗽、发烧、皮肤出血点8天,于1988年7月24日入我院中医科。患者于8天前开始发烧、咳嗽、吐黄痰,胸痛,痛重时难忍,伴皮肤有出血点。查体:T38℃,P84次/分,R21次/分,BP16.0/9.33 kPa,急性病容,浅表淋巴结无肿大,两肺底可闻及少量湿罗音,心音钝,心律齐,未闻及明显杂音。腹软无压痛,肝脾未触及。胸骨、肋骨、脊柱广泛性压痛,两上肢及胸腹部皮肤有米粒大的散在出血点。脉数,舌红苔黄。实验室检查:血红蛋白124g/L,白细胞10.2×10~9/L,中性粒细胞51％,淋巴细胞10％,幼稚淋巴细胞29％,浆细胞6％,单核细胞4％,血小板170×10~9/L,血沉 Reactive plasmacytoid lymphocytes increased, rarely reported in our hospital, admitted to our hospital in 1 case, the report is as follows. Song, female, 58 years old. Due to chest pain, cough, fever, skin bleeding point 8 days, on July 24, 1988 into our hospital Department of Traditional Chinese Medicine. Patients began to have fever, cough, vomit phlegm, chest pain, and unbearable weight when they were overweight eight days ago, with bleeding on the skin. Physical examination: T38 ℃, P84 times / min, R21 beats / min, BP16.0 / 9.33 kPa, acute disease, superficial lymph nodes without swelling, both lungs can smell a small amount of wet rales, Unheard and obvious noise. Abdominal tenderness without tenderness, liver and spleen not touched. Sternum, ribs, spine extensive tenderness, two upper limbs and chest and abdomen skin scattered large spot of rice bleeding. Pulse number, red tongue yellow coating. Laboratory tests: hemoglobin 124g / L, white blood cells 10.2 × 10 ~ 9 / L, neutrophils 51%, lymphocytes 10%, naive lymphocytes 29%, plasma cells 6%, monocytes 4%, platelets 170 × 10 ~ 9 / L, ESR