患者男、43岁,因头昏、乏力伴白细胞减少半年、左胸前肋骨疼痛,骨髓涂片发现浆细胞异常增生,于1976年2月16日入院。患者1962年曾患黄疸型肝炎,治愈后无复发。 体检 体温36.5℃,血压18.7/12.0kPa(140/90mmHg)。轻度贫血貌。浅表淋巴结不肿大。心率72次/分,早搏2～3次/分,心脏未见其他异常。两肺无特殊发现,两侧肋弓下缘有压痛。肝浊音上界在第5肋间,肋下1.5cm,质中,无压痛,脾肋下1cm,质硬。 Male patient, 43 years old, due to dizziness, fatigue with leukopenia six months, left chest chest pain, bone marrow smears were abnormal plasma cells found on February 16, 1976 admission. Patients in 1962 had jaundice hepatitis, no recurrence after cure. Physical examination temperature 36.5 ℃, blood pressure 18.7 / 12.0kPa (140 / 90mmHg). Mild anemia appearance. Superficial lymph nodes are not enlarged. Heart rate 72 beats / min, premature beats 2 to 3 beats / min, heart no other abnormalities. No special findings of both lungs, both sides of the lower edge of arch ribs tenderness. Liver dull upper bound in the 5th intercostal, rib 1.5cm, quality, no tenderness, spleen ribs 1cm, hard.