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霍某,男,47岁。因反复高热、左肺片状阴影1年余,症状加重伴头昏乏力1个月,于1982年11月26日入院。既往有吸烟史30余年。体检:体温37℃,中度贫血貌,无巩膜黄染及皮肤瘀斑。右颈部可触及一枚黄豆大的淋巴结,质中等硬,无触痛。胸骨中段压痛(+)心、肺(-)。肝右肋下3.0cm,脾未触及。实验室检查:血红蛋白55g/L、血小板67×10~9/L、白细胞2.8×10~9/L、中性8%、淋巴92%。胸片:左下肺片状阴影。E玫瑰花56%,免疫球蛋白:IgG50u/ml,IgA80u/ml,IgM80u/ml。骨髓增生极度活跃,
Huo, male, 47 years old. Due to repeated high fever, left lung shadow more than 1 year, the symptoms aggravated with dizziness 1 month, on November 26, 1982 admission. Past history of smoking more than 30 years. Physical examination: body temperature 37 ℃, moderate anemia appearance, no sclera yellow stain and skin ecchymosis. The right neck can reach a large lymph nodes, medium hard, no tenderness. Middle Sternal tenderness (+) Heart, lung (-). Right hepatic ribs 3.0cm, spleen not touched. Laboratory tests: hemoglobin 55g / L, platelet 67 × 10 ~ 9 / L, leukocytes 2.8 × 10 ~ 9 / L, neutral 8%, lymph 92%. Chest X-ray: shadow of the left lower lung flake. E rose 56%, immunoglobulin: IgG50u / ml, IgA80u / ml, IgM80u / ml. Myeloid hyperplasia is extremely active,