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患者男性,50岁。于1991年5月9日入院。自诉腹泻2个月,治疗中曾用庆大霉素肌注,20天前左臀部肿痛约10天后自行消退,4天前再度肿胀并渐增大,致不能行走来院急诊,试穿刺抽得血液,未见脓液。送细菌培养结果阴性,血象发现幼稚细胞转入病房。体检:浅表淋巴结不肿大;皮肤无出血点,左臀部皮肤可见约3×5cm 的瘀斑,胸骨无压痛;肝肋下2cm 质Ⅱ°,脾脐下1cm 质中等,左臀部可扪及20×16cm 肿块。血象:WBC305×10~9/L;分类中幼粒0.10、晚幼粒0.08、杆状核0.16、N0.58、L0.14、M0.04;BPC
Male patient, 50 years old. On May 9, 1991 admitted. Prosecution diarrhea 2 months, the treatment of gentamicin intramuscular injection, 20 days before the left buttocks swelling and pain about 10 days after the self-reversion, swelling and gradually increased again four days ago, can not walk to hospital emergency, try punctured Blood, no pus. The result of bacterial culture was negative, and the blood cells were found to be transferred into the ward. Physical examination: superficial lymph nodes are not swollen; skin no bleeding point, the left hip skin can be seen about 3 × 5cm ecchymosis, sternum no tenderness; liver rib 2cm quality Ⅱ °, 1cm under the spleen umbilical, medium, left buttock palpable 20 × 16cm mass. Blood: WBC305 × 10 ~ 9 / L; classification of young 0.10, late young 0.08, rod core 0.16, N0.58, L0.14, M0.04; BPC