周某,男,42岁。1982年2月因发热就医,发现左上腹肿块、白细胞明显增高,而于3月18日收治入院。体检:贫血貌。颈部、腋下及腹股沟处可及绿豆至蚕豆大淋巴结,质软、活动,无压痛。口咽部无特殊。心界稍向左扩大,心尖Ⅱ级收缩期吹风样杂音。两肺清晰,肝上界第5肋间,肋下未及。脾肋下7cm,质中,缘钝,光滑无触 Zhou, male, 42 years old. February 1982 due to fever medical treatment, found that the left upper abdomen mass, leukocytosis was significantly higher, and admitted to hospital on March 18. Physical examination: anemia appearance. Neck, underarm and groin can reach the mung bean large lymph nodes, soft, activity, no tenderness. No special oropharyngeal. Heart slightly to the left to expand, apical Ⅱ systolic hair-like murmur. Clear lungs, the upper boundary of the 5th intercostal space, ribs under the time. Spleen rib 7cm, quality, edge blunt, smooth without touch