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患者男性,54岁,因左上腹包块7.5年伴疼痛1天于1986年2月17日入院。 1978年发现脾肋下2cm,3年后为11cm,肝于肋下及边,伴乏力及上腹不适,Hb110g/L,WBC13.7×10~9/L,幼粒细胞22％,幼红细胞6％,可见较多泪滴样红细胞,血小板正常,多次骨髓干抽,活检为纤维细胞增生。用VitB_6及雄性素治疗4个月,病情基本稳定。自87年1月后脾进行性增大,Hb逐渐降至5g,复用上述药物及强的松治疗,Hb曾
The patient, male, 54 years old, was admitted to hospital on February 17, 1986, because of a 7.5-year left-sided abdominal mass with pain for one day. In 1978 found splenic ribs 2cm, 3 years after the 11cm, the liver in the ribs and the edge, with fatigue and abdominal discomfort, Hb110g / L, WBC13.7 × 10 ~ 9 / L, 22% of young granulocytes, erythroblasts 6%, showing more teardrop-like erythrocytes, normal platelets, multiple bone marrow pumping, biopsy for fibroblast proliferation. With VitB_6 and male hormone treatment for 4 months, the condition was basically stable. Since January 1987 after splenomegaly increased, Hb gradually reduced to 5g, the use of these drugs and prednisone treatment, Hb had