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刘某,男,23岁,农民。因不规则发热5天,伴左上腹疼痛,于1987年2月24日入院。查体:体温38℃～42℃,脉搏100次,血压130/90,急性热病容,皮肤无出血点瘀斑,巩膜无黄染,右颌下及两侧腹股沟可触及花生米大小淋巴结数枚,活动,无压痛,心肺无异常,腹软,肝肋下未触及,脾肋下6cm,质硬,轻压痛,无移动性浊音,病理反射未引出。实验室检查:Hb100g/L,RBC3.55×12~(12)/L,WBC1.8×10~9/L,N50％,L50％,BPC52×10~9/L,Ret0.4％,胸透心肺正常,肝功能正常。2月27日骨髓穿刺涂片检查疑似恶性组织细胞增生症。3月9日复查骨髓,并同时作骨髓活检,涂片可见异常组织细胞及多
Ryu, male, 23 years old, farmer. Due to irregular fever for 5 days, with left upper quadrant pain, was admitted on February 24, 1987. Physical examination: body temperature 38 ℃ ~ 42 ℃, pulse 100, blood pressure 130/90, acute fever, skin bleeding spots without ecchymosis, sclera no yellow dye, right groin and both sides of the groin can reach the number of peanut-sized lymph nodes , Activities, no tenderness, no abnormal heart and lung, abdominal soft, not touched under the ribs, spleen rib 6cm, hard, light tenderness, no dullness of movement, pathological reflex did not lead. Laboratory tests: Hb100g / L, RBC3.55 × 12 ~ (12) / L, WBC1.8 × 10 ~ 9/L, N50%, L50%, BPC52 × 10 ~ 9/L, Ret0.4%, chest Heart through the lungs normal, normal liver function. February 27 bone marrow biopsy suspected malignant histiocytosis. March 9 review of bone marrow, and at the same time for bone marrow biopsy, smear abnormal tissue cells and more visible