患者男性,62岁。因头痛,四肢无力、腰背痛、胸闷半年余,于88年元月22日入院。患者于半年前感到疲劳、乏力、纳差、头痛、头昏,且逐渐加重。劳累或行走时出现心悸、胸闷。曾多次在当地医院治疗,来见好转。近半月来又出现咳嗽、咳痰、浮肿、胸部及腰背部疼痛。体检:T36.8℃,P98次,R20次,BP17.3/12.0kPa。消瘦、面色苍白,自动体位,皮肤粘膜无出血点,全身浅表淋巴结未扪及,桶状胸。心界不大,HR98次,律齐,心尖区闻及Ⅱ级SM,两肺闻及少许湿罗音;舟状腹,肝肋下未触及,剑下2cm,质中,脾脏不大;下肢浮肿,全身骨骼无压痛。实验室检查:WBC3.4×10~9/L,Plt58.0×10~9/L,Hb40g/L,RBC呈缗钱状。蛋白电泳:血清白蛋白0.333,球蛋白:α_10.012,α_20.039,β0.559,γ0.057;血钙 Male patient, 62 years old. Due to headaches, weakness, low back pain, chest tightness, more than six months, on January 22, 1988 admission. Patients six months ago, fatigue, fatigue, anorexia, headache, dizziness, and gradually increased. Tired or walking palpitations, chest tightness. Has repeatedly in the local hospital for treatment, to see improvement. Cough, phlegm, edema, pain in the chest and lower back occurred again in the past half month. Physical examination: T36.8 ℃, P98 times, R20 times, BP17.3 / 12.0kPa. Thin, pale, automatic position, no bleeding skin mucosa, systemic superficial lymph nodes palpable, barrel-shaped chest. The heart is not big, HR98 times, law Qi, apex area smell and grade Ⅱ SM, two lungs smell a little wet rales; scaphoid, liver ribs untouched, sword 2cm, quality, spleen is not large; Edema, body bones without tenderness. Laboratory tests: WBC3.4 × 10 ~ 9 / L, Plt58.0 × 10 ~ 9 / L, Hb40g / L, RBC was 缗 money-like. Protein electrophoresis: serum albumin 0.333, globulin: α_10.012, α_20.039, β0.559, γ0.057; serum calcium