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幼淋巴细胞白血病(PLL)是一少见类型白血病,我院收治1例,曾误诊为脾大性肝硬化、门脉高压血,后经骨穿检查得以确诊,特报告如下。病历摘要男患,36岁。于1984年9月因左上腹闷胀不适、鼻衄、牙龈出血来诊。体检:肝肋下未触及,脾肋下13cm。血象:血红蛋白75g/L,白细胞40×10~9/L,分叶30％,淋巴70％,血小板22×10~9/L,肝功化验正常,因X线检查报告有食道静脉曲张而诊为脾大性肝硬化、门脉高压症,准备进行切脾及分流术,但术中见肝脏轻度肿大,质软,无结节。排除肝硬变,行
Lymphocytic leukemia (PLL) is a rare type of leukemia, admitted to our hospital in 1 case, had misdiagnosed as splenomegaly cirrhosis, portal hypertension, after bone penetrating examination can be diagnosed, the special report is as follows. Male patient history, 36 years old. In September 1984 due to left upper quadrant distention discomfort, epistaxis, bleeding gums to the clinic. Physical examination: liver ribs not touched, spleen ribs 13cm. Blood: hemoglobin 75g / L, white blood cells 40 × 10 ~ 9 / L, leaves 30%, lymphatic 70%, platelets 22 × 10 ~ 9 / L, normal liver function tests due to X-ray reports of esophageal varices and diagnosis For splenomegaly cirrhosis, portal hypertension, preparation for splenectomy and shunt, but the surgery see the liver slightly enlarged, soft, non-nodular. Exclude cirrhosis, OK