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白血病并发自发性脾破裂是一种少见的并发症。本院曾收治1例,急诊脾切除术后38小时,因血凝障碍死亡,现报告如下。男,40岁,1981年9月23日15时入院。患者9月5日开始自感畏寒,高烧39℃,伴头痛、乏力,经对症处理体温降至37.5℃左右,症状略有改善。但18日起症状复又加剧,体温达40℃,并出现左上腹部胀痛,22日体查发现肝大2cm,脾大6cm,质中等无触压痛,血红蛋白12.2g,白细胞5000,中性70％,淋巴30％,血小板6万,谷丙酶490u,以亚急性肝坏死的诊断入院。入院时体查,一般情况尚可,体温
Leukemia complicated by spontaneous splenic rupture is a rare complication. The hospital had admitted a case of emergency splenectomy 38 hours after the death due to coagulation disorders, are as follows. Male, 40 years old, admitted to hospital at 15:00 on September 23, 1981. Patients on September 5 began to feel chills, fever 39 ℃, with headache, fatigue, symptomatic treatment of body temperature dropped to about 37.5 ℃, the symptoms improved slightly. However, the symptoms began to aggravate again on the 18th. The body temperature reached 40 ° C, and the upper left abdomen was painful. On the 22nd day, liver enlargement 2 cm, splenomegaly 6 cm, moderate to no tenderness pain, hemoglobin 12.2 g, leucocyte 5000, neutral 70 %, Lymphatic 30%, platelet 60,000, urinary tract 490u, to subacute diagnosis of liver necrosis admitted. Physical examination on admission, the general situation is acceptable, body temperature