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患者,男,58岁,汉族,小学教师,无幼年丧生的兄弟姐妹。因颈部肿块9年,发热1周入院。患者于9年前因乏力、颈部肿块行淋巴结活检诊断小B细胞淋巴瘤,同时外周血象提示淋巴细胞比例及绝对计数均升高(WBC 15×109/L,L 0.90),骨髓穿刺及外周血流式免疫分析结果符合慢性淋巴细胞白血病(CLL)诊断。以苯丁酸氮芥和中药治疗,间断应用CHOP方案3个疗程,病情持续稳定。入院前1周无明显诱因出现发热
Patient, male, 58 years old, Han nationality, primary school teacher, no siblings who have died young. 9 years due to neck mass, fever, 1 week admission. Patients had small B cell lymphoma diagnosed nine years ago because of weakness and neck mass by lymph node biopsy. Meanwhile, peripheral blood lymph nodes showed an increase in lymphocyte proportion and absolute count (WBC 15 × 109 / L, L 0.90), bone marrow aspiration and peripheral Blood flow immunoassay results are in line with the diagnosis of chronic lymphocytic leukemia (CLL). To chlorambucil and traditional Chinese medicine treatment, intermittent use of CHOP program three courses, the condition was stable. One week before admission no obvious incentive to fever