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例1,男,54岁,头晕乏力四个月,反复鼻衄,视物不清一月于1988.10入院。既往体健。Hb 20-40g/L,Wbc 4.8×10~9/L,plt 16×10~9/L,Ret2％,红细胞呈明显钱串状改变。血沉175mm/h,总蛋白7.2g％,蛋白电泳:r39.1,在r区见M蛋白带,免疫球蛋白:IgG13mg/ml、IgA 1.2mg/ml、IgM>46mg/ml,抗“κ”、“λ”轻链血清见一沉淀线,IgM呈增宽船形沉淀弧,尿蛋白电泳(一)。骨髓增生尚活跃,淋样浆细胞占10.8％,该细胞个小,胞浆少、多突
Example 1, male, 54 years old, dizzy and weak for four months, repeated epistaxis, blurred vision in January 1988.10 admitted. Past physical health. Hb 20-40g / L, Wbc 4.8 × 10 ~ 9 / L, plt 16 × 10 ~ 9 / L, Ret2%, red blood cells showed a significant change of money string. Erythrocyte sedimentation rate 175mm / h, total protein 7.2g%, protein electrophoresis: r39.1, see M protein band in r region, immunoglobulin: IgG13mg / ml, IgA1.2mg / ml, , “Λ” light chain serum see a precipitation line, IgM was widening boat precipitation arc, urinary protein electrophoresis (a). Myeloid hyperplasia is still active, leaching plasma cells accounted for 10.8%, a small cell, less cytoplasm, multiple processes