董某,男,63岁,菜农,病历号106435。因主诉上腹胀满不适、纳差、消瘦二十余日入院。除十年前有过短期胃痛外,无其它疾病史,但近三月来有发作性右耳屏根部红肿现象: 查体及治疗经过:体温、脉搏、血压正常。体质消瘦,皮肤干燥,胸前皮肤可见十余个针尖大小出血点,两颌下均可扪及2～3枚蚕豆大小淋巴结,肝剑右下扪及2.5cm。双下肢微浮肿,余无阳性病理征。血糖、肝功、胸部X线片、心电图、胃肠钡餐、血清蛋白电泳、AFP正常范围,血沉第一小时 Dongmou, male, 63 years old, farmer, medical record number 106435. Abdominal distension due to the main complaint of discomfort, anorexia, weight loss more than 20 days admission. In addition to short-term stomach pain ten years ago, there is no other history of the disease, but in the past three months there have been episodes of acute right ear tragus root swelling: physical examination and treatment after: body temperature, pulse, normal blood pressure. Physique weight loss, dry skin, the chest skin can be seen more than a dozen tip size bleeding, palpable under both jaws 2 to 3 beans size lymph nodes, right liver palpable 2.5cm. Lower extremity micro-edema, I no positive pathological sign. Blood glucose, liver function, chest X-ray, electrocardiogram, gastrointestinal barium meal, serum protein electrophoresis, AFP normal range, ESR first hour