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王×,男,55岁,农民。因全身骨骼疼痛,发热半年于1980年12月18日来我院就诊。骨骼疼痛呈持续性,以两胁较明显。近来两胁疼痛加重,体力日益不支,消瘦,乏力,胃纳下降。常有低热或中等度发热。但无咳,无出血倾向。过去有胸部外伤史。体检:而色(白光)白,呈慢性病容,浅表淋巴结无肿大,胸骨压痛,肝肋下一指,质中无触痛,脾肋下未及,心肺正常,皮肤未见明显出血点。实验室检查:血沉51毫米/小时(魏氏法),血红蛋白9.1克%,白细胞39,200/立方毫米,其中
Wang ×, male, 55 years old, farmer. Due to systemic bone pain, fever for six months in December 18, 1980 to our hospital. Skeletal pain was persistent, with two threats more obvious. Recently two threatening pain worsened, physical strength increasingly poor, weight loss, fatigue, decreased appetite. Often low or moderate fever. But no cough, no bleeding tendency. Past history of chest trauma. Physical examination: while the color (white light) white, was chronic disease, superficial lymph nodes without swelling, sternal tenderness, the next refers to the liver ribs, no tenderness in the quality, spleen and ribs did not reach the normal cardiopulmonary, skin no obvious bleeding . Laboratory tests: ESR 51 mm / h (Wei’s method), hemoglobin 9.1 g%, white blood cells 39,200 / cubic millimeter, of which