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男,55岁,于1985年5月渐起头晕无力.1935年12月18日晚突然出现吐词不清,住当地医院。Hb45g/L,髓象增生减低,蛋白电泳γ球蛋白55.8%。经铁剂、VitB_(12)、叶酸、输血1200ml、扩张血管药等治疗,语言障碍好转,Hb40g/L.于1986年7月12日住本院.体查:T36.9℃,R18次,P90次.Bp150/90,贫血貌,双咽反射消失,肝肋下3cm,脾侧位肋下1cm.化验 Hb45g/L,WBC3.2×10~9/L,分类:中幼粒细胞3%,晚幼红2个,可见钱缗状红细胞,血沉160mm.骨髓增生减低,粒系13.2%,红系18.4%,淋巴细胞66.8%,浆细胞0.8%.蛋白电泳在β和γ区域间呈现单株峰 M 带37.8g/L.IgM3246mg/L。醋酸薄膜蛋白电泳 PAS 染色 M 带呈强阳性.尿糖(-),尿本周氏
Male, 55, became dizzy and weak in May 1985. Suddenly there was a vomit on the night of December 18, 1935, at a local hospital. Hb45g / L, reduced medullary hyperplasia, protein electrophoresis gamma globulin 55.8%. The iron deficiency, VitB_ (12), folic acid, blood transfusions 1200ml, vasodilators and other treatment, language problems improved, Hb40g / L. In July 12, 1986 to live in our hospital. Physical examination: T36.9 ℃, R18 times, P90 times .Bp150 / 90, anemia, pharyngeal reflex disappeared, liver ribs 3cm, spleen lateral rib 1cm. Assay Hb45g / L, WBC3.2 × 10 ~ 9 / L, Category: , Late-blooming red 2, showing the money-shaped red blood cells, erythrocyte sedimentation rate 160mm.Myoblast proliferation decreased, 13.2% of grain lines, 18.4% of erythroid, 66.8% of lymphocytes, plasma cells 0.8% protein electrophoresis in the β and γ region showed a single Zhu Feng M with 37.8g / L.IgM3246mg / L. Acetate thin film electrophoresis PAS staining M band was strongly positive. Urine sugar (-), urine of the week’s