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近年来,在同一患者发生两种或两种以上恶性肿瘤的报道逐渐增多。我院最近收治一例急性白血病缓解期伴发肺部恶性肿瘤患者,现报告如下。病史摘要患者男性,52岁,住院号14376,因不规则发热一月伴胸骨疼痛二周于1979年11月29日入院。患者一月前开始经常发热(体温39℃左右),每次连续1～2天,热退,隔2～4天又发,2周前出现胸骨剧痛,食欲明显减退,偶有鼻衄及牙龈出血,经末梢血象检查白细胞为16,000,并有大量幼稚细胞,拟诊急性白血病而收治入院。过去史:1951年曾患肺结核,慢支史18年,吸烟史30年。体检:体温40℃,脉搏100次,呼吸20次,血压110/70,消瘦,贫血貌,颈、颌下、腹股沟均可扪及黄豆～蚕豆大小的淋巴结,活动,无触痛,左
In recent years, there have been more and more reports of two or more malignancies in the same patient. Our hospital recently admitted to a case of acute leukemia associated with lung cancer patients, are as follows. Summary of medical history Male patient, 52 years old, hospital number 14376, due to irregular fever in January with sternal pain was admitted to hospital on November 29, 1979 for two weeks. Patients began to fever a month ago (body temperature about 39 ℃), each successive 1 to 2 days, hot back, every 2 to 4 days again, 2 weeks ago severe pain in the chest, appetite decreased significantly, occasional epistaxis and Gingival bleeding, the peripheral blood as white blood cell count of 16,000, and a large number of naive cells, admitted to hospital for diagnosis of acute leukemia. Past history: In 1951 had tuberculosis, chronic bronchitis history of 18 years, 30 years of smoking history. Physical examination: body temperature 40 ℃, pulse 100 times, breathing 20 times, blood pressure 110/70, weight loss, anemia appearance, neck, submandibular, groin palpable soybeans ~ broad bean-sized lymph nodes, activities, no tenderness, left