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一例免疫母细胞淋巴结病样T细胞淋巴瘤患者,治疗过程中发现其血型变更,报道如下。高某,78岁。因发热全身浅表淋巴结肿大伴皮肤搔痒半月于87年12月31日入院。5年前作直肠癌切除术时的血型为“AB”型,输入同型血无反应,术后服用抗癌药2年。体检:T36.8℃,全身无皮疹、黄染和浮肿。双侧颈、腋下、腹股沟处可触及数十个蚕豆至乒乓球大小的淋巴结,质硬,无压痛及粘连。心肺无异常,肝脾未触及。实验室检查:Hb110g/L,WBC8.8×10~9/L,异淋0.09,肝肾功能正常。E玫瑰花环形成率0.09,淋巴细胞转化率
A case of immunoblastic lymphocytic disease-like T-cell lymphoma patients, found that the blood group changes during treatment are reported below. High, 78 years old. Due to fever, superficial lymph nodes and skin itching half a month on December 31, 87 admission. 5 years ago for rectal cancer resection blood type is “AB” type, the same type of blood input reaction, after taking anticancer drugs for 2 years. Physical examination: T36.8 ℃, body rash, yellow dye and edema. Bilateral neck, armpit, groin can reach dozens of beans to ping pong ball size of the lymph nodes, hard, no tenderness and adhesions. No abnormal heart and lung, liver and spleen not touched. Laboratory tests: Hb110g / L, WBC8.8 × 10 ~ 9 / L, different leaching 0.09, liver and kidney function was normal. E rosette formation rate 0.09, lymphocyte conversion rate