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原发性脾何杰金氏病较少见,合并类白血病反应脾摘除术后并发血小板增多症者、尚未见报道,现将该病例追踪观察十一年报告如下。患者××,女,44岁。以左上腹肿物5年逐渐长大,于1964年4月首次住院。既往无发烧、出血及黄疸史。体检:慢性病容,营养欠佳,体温、脉搏、血压均正常,浅表淋巴结无肿大,心肺正常,肝肋下3cm,中度硬,光滑,脾肋下7cm,质硬、表面触及凸凹不平之结节。化验,RBC400万/mm~3,Hb12g,WBC 共检12次,均在1.8～3.6万/mm~3,大多出现中幼粒细胞1～6%,晚幼粒细胞4～6%。共检5次血小板均正常,出凝血
Primary splenic Hodgkin’s disease is rare, combined leukemia response splenic excretory disease complicated with thrombocytosis, have not been reported, the case tracking report observed eleven years are as follows. Patients × ×, female, 44 years old. To the left upper quadrant tumor 5 years gradually grew up, in April 1964 the first hospitalization. No previous history of fever, bleeding and jaundice. Physical examination: Chronic disease, poor nutrition, body temperature, pulse, blood pressure were normal, superficial lymph nodes without swelling, normal heart and lung, liver ribs 3cm, moderately hard, smooth, spleen rib 7cm, hard, The nodules. Laboratory tests, RBC400 million / mm ~ 3, Hb12g, WBC were 12 times, all in the 1.8 ~ 36000 / mm ~ 3, most of the juvenile neutrophils 1 ~ 6%, late promyelocytic 4 ~ 6%. A total of 5 times the platelet were normal, out of coagulation