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患者男,69岁.近4个月来自感腹部逐渐膨隆、乏力、腹胀且纳差,明显消瘦,去当地医院就诊发现外周血有大量的幼稚细胞而于1993年2月1日转入我院.体检:轻度贫血貌,全身浅表淋巴结不肿大,无出血倾向,腹微膨,肝肋下未及,脾肋下15cm、脐下3cm,质硬,边缘锐,无明显结节及压痛.两下肢有明显的凹陷性浮肿.血红蛋白47g/L,血小板数18×10~9/L,白细胞数123.2×10~9/L,幼淋巴细胞0.90,中性粒细胞0.04,淋巴细胞
Male patient, aged 69. In the recent 4 months, the sensory abdomen gradually bulging, weakness, abdominal distension and anorexia, obviously thin, go to the local hospital for treatment found that there are a large number of peripheral blood naive cells in February 1, 1993 transferred to our hospital Physical examination: mild anemia appearance, systemic superficial lymph nodes are not swollen, no bleeding tendency, slightly swollen abdomen, liver ribs under the spleen rib 15cm, below the navel 3cm, hard, sharp edge, no obvious nodules and Tenderness .At the same time, the lower extremities had obvious pitting edema.Hemoglobin 47g / L, the number of platelets 18 × 10 ~ 9 / L, the number of white blood cells 123.2 × 10 ~ 9 / L, the young lymphocytes 0.90, the neutrophils 0.04, the lymphocytes