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病例摘要患者男性,74岁,干部。因腹脓,腹痛伴呕吐1月,于1986年5月5日入院。1月前患者出现腹脓、腹痛、食后加重,痛剧时上腹可及拳头大肿块,时有呕吐,吐出宿食及腐臭味伴褐色胃内容,偶有黑便。1984年因乏力,鼻衄,血常规检查发现幼稚细胞,骨穿原始单核细胞加幼单核细胞占52.5%,诊断为急性单核细胞性白血病住我院5个月,经小剂量阿糖胞苷(30mg/天,总量1350mg)治疗,临床及骨穿完全缓解出院。出院后门诊随访,间歇性小剂量阿糖胞苷巩固治疗。体检:面苍,巩膜无黄染,左颈根部可及蚕豆大淋巴结4颗,活动,无压痛,心肺听诊无异常,腹软,肝肋下刚及,脾来及,下腹可及拳头大肿块,边欠清,表面高低不
Case Summary Male patient, 74 years old, cadre. Due to abdominal pus, abdominal pain with vomiting in January, on May 5, 1986 admission. 1 month ago, patients with abdominal pus, abdominal pain, post-prandial aggravating pain when the abdomen and fist can be large, sometimes vomiting, spit out the food and rancid smell with brown stomach content, occasionally melena. In 1984 due to fatigue, epistaxis, blood tests found naive cells, bone mononuclear cells plus mononuclear cells plus mononuclear cells accounted for 52.5%, diagnosed with acute monocytic leukemia in our hospital for 5 months, after a small dose of sugar Cytidine (30mg / day, the total amount of 1350mg) treatment, complete remission of clinical and bone wear discharged. Outpatient clinic follow-up, intermittent low-dose cytarabine consolidation therapy. Physical examination: face Cang, Sclera no yellow dye, the left cervical and broad bean nodes can reach 4, activities, no tenderness, cardiopulmonary auscultation no abnormalities, abdominal soft, liver ribs just and, spleen and, the lower abdomen and fist can be large , While less clear, not the surface level