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原发性肝癌无骨髓转移而伴有类白血病反应者较为罕见,我科收治一例,报告如下。 患者孙某,男性,60岁。以不规则发热伴乏力、纳差、腹胀25天入院。发热前无畏寒或寒战,待续6～7小时后可自行退热。病后体重明显下降。查体、体温36～38.5℃。血压150/90mmHg。体质消瘦,巩膜轻度黄染,心肺阴性、腹软、肝脏於肋下和剑突下2cm处可扪及,质中等硬,有结节感,边缘锐,无压痛和叩击痛,脾脏未扪及,腹水征(+),双下肢凹陷性水肿。实验室检查Hb
Primary liver cancer without bone marrow metastasis associated with leukemia-like response is more common in our department admitted a case, the report is as follows. Patients Sunmou, male, 60 years old. Irregular fever with fatigue, anorexia, abdominal distension 25 days admitted. Fever without chills or chills before fever, to be continued after 6 to 7 hours can be self-cooling. Significantly decreased body weight after illness. Physical examination, body temperature 36 ~ 38.5 ℃. Blood pressure 150 / 90mmHg. Physique weight loss, scleral mild yellow dye, cardio-pulmonary, abdominal soft, liver in the ribs and the xiphoid 2cm office palpable, medium hard, nodular, sharp edge, no tenderness and percussion pain, spleen Palpable, signs of ascites (+), both lower limb pitting edema. Laboratory examination Hb