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我院于1978年8月收治一例以肾小管酸中毒为表现的急性粒细胞性白血病,临床表现较特殊,报告为下。病历报告患者杨××、男性、26岁、昆明人、电工、住院号783498。因多尿,烦渴、肌无力四个月,头昏、厌食、恶心四天于1978年8月27日住我院内科。 1978年4月以来,患者渐有多尿(每日小便约1000—6000毫升),烦渴(每日饮水约15磅)及四肢肌肉无力,曾因下肢无力在骑自行车中跌倒多次,有时发生手足搐搦。1978年8月23日头晕、厌食及恶心,呕吐进食一次而住入工厂医院,厂医院发现患者贫血给注射肝B_(12),8月25日四肢无力更趋严重,不能走动而送我院,门诊检查发现患者贫血,尿中有蛋白质,初步诊断慢性肾炎、贫血收住院。
Our hospital in August 1978 admitted to a case of renal tubular acidosis as the manifestation of acute myeloid leukemia, the clinical manifestations of the more specific, the report for the next. Medical records of patients Yang × ×, male, 26 years old, Kunming, electrician, hospital number 783498. Due to polyuria, polydipsia, muscle weakness for four months, dizziness, anorexia, nausea four days in August 27, 1978 living in our hospital. Since April 1978, patients have polyuria (daily urine about 1000-6000 ml), polydipsia (about 15 pounds of daily drinking water), and weakness of the extremities. They have had falls due to lower limb weakness many times in cycling, and sometimes Testicles occur. August 23, 1978 dizziness, anorexia and nausea, vomiting and once admitted to the hospital plant, the factory found that patients with anemia in patients with injection of liver B_ (12), August 25 limb weakness becomes more serious, can not move and sent to our hospital Outpatient examination found that patients with anemia, urine protein, the initial diagnosis of chronic nephritis, anemia admitted to hospital.