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患者女,主因“血红蛋白降低18d,浮肿伴心悸10d”于2002年11月5日入院。入院查体:T37.8℃,P90次/min,R18次/win,Bp110/70mmHg(1mmHg=0.133kPa);贫血貌,左颈后三角及2个0.5cm大小淋巴结,质软,无压痛,心肺未见阳性体征,腹软,无压痛,肝脾未及,双下肢不肿。辅助检查:11月3日血常规:WBC5.5×109/L,P0.42,L0.34,RBC1.73×1012/L,Pt98×109/L。入院后查生化:ALB33G/L,略低,CK-MB49.9U/L,LDH949U/L,HBDH1104U/L,均升高。肝炎病毒系列阴性。CD334.4%,CD419.49%,CD812.26%,均下降。腹部B超、超声心动图正常,肺CT示双侧胸膜肥厚。末梢血涂片:原粒0.09,晚幼红0.01;NAP:阳性率0.5,
Female patients, mainly due to “hemoglobin decreased 18d, edema with heart palpitations 10d ” on November 5, 2002 admission. Admission examination: T37.8 ℃, P90 times / min, R18 times / win, Bp110/70mmHg (1mmHg = 0.333kPa); anemic appearance, left and right posterior trigone and 2 0.5cm size lymph nodes, soft, Cardiopulmonary no positive signs, abdominal soft, no tenderness, liver and spleen not yet, both lower extremity is not swollen. Auxiliary examination: November 3 blood: WBC5.5 × 109 / L, P0.42, L0.34, RBC1.73 × 1012 / L, Pt98 × 109 / L. After admission biochemical tests: ALB33G / L, slightly lower, CK-MB49.9U / L, LDH949U / L, HBDH1104U / L, were elevated. Hepatitis virus negative. CD334.4%, CD419.49%, CD812.26%, all decreased. Abdominal B-ultrasound, echocardiography normal, bilateral CT showed bilateral pleural hypertrophy. Peripheral blood smear: the original 0.09, late young red 0.01; NAP: the positive rate of 0.5,