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我院于1988年6月至9月间收治了2例恶性组织细胞病(简称恶组)均误诊为肝硬化。兹介绍如下: 例1白××,男,31岁,农民。住院号73841,于1988年6月5日入院。患者于4个月前因上腹部隐痛在本院内科诊治,查血常规:Hb:80g/L,WBC:26×10~9/L,PLt:30×10~9/L,B超示:肝肋下未探及,脾肪下12.2cm,骨髓分析为脾亢,诊断为早期肝硬化,经对症等治疗后病情好转出院。近4天因高热而再次入院。查体:体温:40℃,血压:16/10.6kPa,全身浅表淋巴结未触及,皮肤、巩膜无黄染,无血管蛛及肝掌。心肺正常,肝肋下未触及,脾肋下10cm。化验:血常规:Hb:78g/L,RBC:2.65×10~(12)/L,WBC:1.8×10~9/L,PLt:26×10~9/L,肝功:TTT:8.5u, TFT(-),S-GPT:185u,A:6.5g,A/G:3.63/2.87。HBsAg<1:8,抗-HBc≥1:100,
Our hospital in June 1988 to September admitted to 2 cases of malignant cell disease (referred to as the evil group) were misdiagnosed as cirrhosis. Here are the introduction: Example 1 White × ×, male, 31 years old, farmer. Hospital number 73841, admitted on June 5, 1988. Patients were diagnosed as upper abdominal pain 4 months ago in our hospital for medical examination. The routine blood tests were as follows: Hb: 80g / L, WBC: 26 × 10-9 / L, PLt: 30 × 10-9 / Liver ribs were not explored and, under the spleen 12.2cm, bone marrow analysis of hypersplenism, the diagnosis of early cirrhosis, symptomatic treatment improved condition after discharge. Nearly 4 days because of fever and re-admission. Physical examination: body temperature: 40 ℃, blood pressure: 16 / 10.6kPa, systemic superficial lymph nodes not touched, skin, sclera no yellow dye, avascular spider and liver palms. Cardiopulmonary normal, liver ribs did not touch, spleen ribs 10cm. Laboratory: blood: Hb: 78g / L, RBC: 2.65 × 10-12 / L, WBC: 1.8 × 10 ~ 9/L, PLt:26 × 10 ~ 9/L, liver function: TTT: 8.5u , TFT (-), S-GPT: 185u, A: 6.5g, A / G: 3.63 / 2.87. HBsAg <1: 8, anti-HBc> 1: 100,