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李某,男,67岁。1981年9月3日因乏力,脾脏肿大3个多月首次入院。体检:体温37.5℃,脉搏80次,血压140/70,无特殊皮疹,浅表淋巴结(-),胸骨压痛。心肺(-)。肝大肋缘下4cm,脾大肋缘下16cm,边缘钝,平滑,无触痛。实验室检查:血红蛋白6.6g,白细胞37.6～46万,分类:原粒2％,早幼粒6％,中性中幼粒16％,晚幼粒8％,杆状核35％,分叶核26％,嗜酸性粒细胞7％。血小板36万。尿常规(-)。肾功能:肌酐1.0mg％,尿酸4.6rag％,尿素氮21mg％。肝功能:总蛋白7.1g,A/G=3.7/3.4g,TFT 6u,TTT(-),ZnTT12u,
Lee, male, 67 years old. September 3, 1981 because of fatigue, splenomegaly more than 3 months for the first time admitted to hospital. Physical examination: body temperature 37.5 ℃, pulse 80 times, blood pressure 140/70, no special rash, superficial lymph nodes (-), sternal tenderness. Cardiopulmonary (-). Under the large costal liver 4cm, under the spleen large costal 16cm, blunt edge, smooth, no tenderness. Laboratory tests: hemoglobin 6.6g, leukocytes 37.6 ~ 460,000, classification: 2% of the original particles, promyelocytic 6%, 16% of neutral juveniles, late juvenile 8%, rod nucleus 35%, leaf core 26%, eosinophil 7%. 360,000 platelets. Urine routine (-). Renal function: creatinine 1.0mg%, uric acid 4.6rag%, urea nitrogen 21mg%. Liver function: Total protein 7.1g, A / G = 3.7 / 3.4g, TFT 6u, TTT (-), ZnTT12u,