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病历摘要患者男,54岁。因心前区刺痛、乏力4小时于1978年6月14日20时急诊入院。患者于1967年起经外周血液、骨髓和染色体检查(ph~1阳性)确诊为慢性粒细胞性白血病。查体:昏迷,血压测不到,脉细、120/min,呼吸25/min,心音低钝,肺部可听到少许湿性罗音,腹膨隆,肝于肋缘下触及3cm、质硬,脾在脐下4cm、质硬。血液检查:血红蛋白80g/L、白细胞32×10~9/L。心电图示:窦性心动过速、心尖前侧壁缺血、RV_1～V_2增高。临床以冠心病、急性心肌梗塞、心原性休克,慢性粒细胞性白血病急性变,进行复苏无效,于1978年6月14日
Patient summary Male, 54 years old. Due to precordial tingling, fatigue 4 hours on June 14, 1978 at 20 o’clock emergency admission. The patient was diagnosed with chronic myelogenous leukemia by peripheral blood, bone marrow and chromosome examination (ph ~ 1 positive) since 1967. Physical examination: coma, blood pressure can not be measured, pulse fine, 120 / min, breathing 25 / min, low heart sound blunt, lungs can hear a little wet rales, abdominal bulging, Spleen in the navel 4cm, hard. Blood tests: hemoglobin 80g / L, white blood cells 32 × 10 ~ 9 / L. ECG shows: sinus tachycardia, apical anterior ischemic wall, RV_1 ~ V_2 increased. Clinical coronary heart disease, acute myocardial infarction, cardiogenic shock, acute myeloid leukemia change, the recovery is invalid, on June 14, 1978