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例 1 女性 ,6 1岁。慢性支气管炎、肺心病 10年 ,近 2个月全身骨痛 ,右上腹胀痛。体检 :肝肋下 1.5cm ,质中等 ,肝功能ALT86u/L ,GGT5 1u/L ,总蛋白 77g/L ,球蛋白 5 3g/L。诊断“肺心病、淤血性肝硬化”。 1个月后 ,病情日益恶化 ,全身骨痛加剧 ,后在血清蛋白电泳中发现M带。
Example 1 Female, 6 1 year old. Chronic bronchitis, pulmonary heart disease for 10 years, nearly 2 months of systemic bone pain, right upper quadrant pain. Physical examination: liver 1.5cm, medium quality, liver function ALT86u / L, GGT5 1u / L, total protein 77g / L, globulin 53g / L. Diagnosis of “pulmonary heart disease, congestive cirrhosis.” After 1 month, the condition deteriorated gradually and the whole body ache became aggravated. After that, the M band was found in the serum protein electrophoresis.