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患者,男性,45岁,干部,因纳差、乏力半年,左上腹痛2月,于1993年6月11日入院。既往史无特殊,无药物过敏史。入院体查:皮肤粘膜无瘀点、无黄疸,浅表淋巴结无肿大,无胸骨压痛,心肺正常。腹平软,肝助下及剑下各3cm,质软,无压痛。脾肋下13cm,脾内缘越过腹正中线1cm,质中,轻度压痛,可扪及脾切迹。实验室检查:血Hb99g/L,RBC2.97×10~(12)/L,WBC 238×10~9/L,其中中性粒分叶核及杆
Patient, male, 45 years old, cadre, due to anaerobic, fatigue for six months, left upper quadrant pain in February, was admitted on June 11, 1993. No previous history, history of drug allergy. Admission physical examination: skin mucosa without petechia, jaundice, superficial lymph nodes without swelling, no tenderness of the chest, normal heart and lung. Abdomen soft, liver support and the sword under the 3cm, soft, no tenderness. Spleen ribs 13cm, the spleen edge across the abdomen midline 1cm, quality, mild tenderness, palpable and splenic notch. Laboratory tests: blood Hb99g / L, RBC2.97 × 10-12 / L, WBC 238 × 10 ~ 9 / L, of which the middle of the leaves and the core rod