骨髓转移瘤误诊为恶性组织细胞病1例

来源 :武警医学院学报 | 被引量 : 0次 | 上传用户:greenranqingiqng
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1 病例报告患者男,30岁,主因右下胸痛3个月,关节疼痛伴发热1个月入院。患者3个月前无明显诱因出现右下胸痛,呈持续性,与呼吸无关,且不向它处放射,并伴有局部压痛,1个月前又出现全身多处关节痛,伴发热,体温37~38.5℃,以解热镇痛药治疗无效。体检:体温37.5℃,脉搏96次/min,血压100/80mmHg(1 mmHg=0.1333 kPa),营养中等,全身皮肤无黄染及出血点,双侧腹股沟淋巴结肿大,约1c×2cm,界清无压痛,质中等,右腋前线与第Ⅵ肋交界处稍隆起,压痛(+),心肺听诊未见异
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