论文部分内容阅读
慢性粒细胞白血病(慢粒)患者起病常以乏力、多汗、低热、脾大等为主要表现,也有少数病人以脾破裂出血为首发症状,但以卵巢破裂出血为首发症状者少见,我院曾收治一例,现报告如下。患者女性,34岁,因下腹突起持续性剧痛3天,疑宫外孕破裂出血于1989年12月27日急诊收入本院妇产科。入院体查:体温、呼吸、血压正常,轻度贫血貌,痛苦面容,皮肤巩膜无黄染,皮肤未见出血点、淤斑,浅表淋巴结不大,心率120次/min,律齐,双肺无异常,胸骨中下段压痛,下腹有压痛及反跳痛,脾肿大,于脐水平上二指,质中,光滑,有轻度压病。血象:Hb94.8g/L,WBC360×10~9/L,N0.38,E
Chronic myeloid leukemia (CML) patients often onset of fatigue, hyperhidrosis, fever, splenomegaly, etc. as the main performance, but also a small number of patients with splenic rupture of bleeding as the first symptom, but the first symptom of ovarian rupture bleeding rare, I Hospital had admitted a case, the report is as follows. Patient Female, 34 years old, persistent pain due to lower abdomen protracted pain for 3 days, suspected ectopic pregnancy bleeding ruptured in December 27, 1989 emergency department hospital obstetrics and gynecology. Admission physical examination: body temperature, breathing, normal blood pressure, mild anemia appearance, painful face, skin sclera no yellow dye, no bleeding spots on the skin, ecchymosis, superficial lymph nodes, heart rate 120 beats / min, No abnormal lung, lower middle part of sternum tenderness, tenderness and rebound tenderness in the lower abdomen, splenomegaly, two fingers on the umbilical level, quality, smooth, mild pressure disease. Blood: Hb94.8g / L, WBC360 × 10 ~ 9 / L, N0.38, E.