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1病例报告患者男,68岁。因左上腹无痛性肿块1个月就诊。无其他不适;3年前患化脓性骨髓炎,现已痊愈。门诊拟“脾大原因待查”收入院。查体:体温、脉搏、呼吸、血压均正常。皮肤无黄染,双下肢散在出血点,全身淋巴结未触及肿大,腹肌稍膨隆,左侧略高于右侧,腹部稍紧张,无压痛及反跳痛,脾大﹑平脐﹑过中线,质硬﹑表面光滑﹑无结节;肝肋下未触及。CT检查提示:巨脾、胆囊结石、慢性胆囊炎。胸X线片示右侧少量胸膜增厚,胸椎骨质增生。血常规示:WBC计数7.97×109/L(多毛细胞占65%、淋巴细胞占13%),RBC计数3.29×109/L,HGB 95g/L,
1 case report patient male, 68 years old. Due to the left upper quadrant painless mass 1 month treatment. No other discomfort; 3 years ago suffering from suppurative osteomyelitis, has now recovered. Outpatient to be “Spleen big reason to be investigated ” income hospital. Physical examination: body temperature, pulse, respiration, blood pressure are normal. The skin is yellowish, the lower extremity is scattered in the bleeding point, the body lymph nodes are not touched and swollen, the abdominal muscle is slightly bulging, the left is slightly higher than the right, the abdomen slightly nervous, no tenderness and rebound tenderness, splenomegaly, , Hard ﹑ smooth ﹑ nodules; liver rib did not touch. CT examination tips: splenomegaly, gallstones, chronic cholecystitis. Chest X-ray showed a small amount of pleural thickening on the right, thoracic bone hyperplasia. Blood count showed: WBC count 7.97 × 109 / L (65% of hair cells, lymphocytes accounted for 13%), RBC count 3.29 × 109 / L, HGB 95g / L,