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张××,住院号138586,男,23岁,四川省籍,战士,1977年1月4日因发烧全身骨痛20余天由24医院转入我院。 患者于76年12月10日左右渐有低热、腹胀及腰椎、胸椎、肋骨处疼痛,以右侧为重,影响活动,体温37.7℃,在本单位予以一般止痛治疗无效于12月31日入24医院。患者症状日重,影响起床活动,有鼻、头晕、眼花、食欲不振、消瘦,在该院检查肝大助下2厘米,胸助骨压痛,血红蛋白7克,白细胞10,000,中性84％,淋巴11％,单核3％,酸性2％,疑为恶性血液病转来我院。
Zhang × ×, hospital number 138586, male, 23 years old, Sichuan provincial, soldier, January 4, 1977 due to fever over 20 days of bone pain transferred from 24 hospitals to our hospital. Patients on December 10, 76 or so gradually low fever, abdominal distension and lumbar, thoracic and rib pain, to the right, affecting activity, body temperature 37.7 ℃, in this unit to be generally analgesic treatment ineffective on December 31 into 24 hospitals. Patients with severe symptoms, affecting waking up activities, nose, dizziness, vertigo, loss of appetite, weight loss, in the hospital check the liver aids 2 cm, ciliary bone tenderness, hemoglobin 7 grams, white blood cells 10,000, 84% neutral, lymphatic 11 %, Mononuclear 3%, acid 2%, suspected malignant hematological disease transferred to our hospital.