患者,男,52岁,病历号65449。1986年9月26日因乏力、消瘦2年,心慌、气短4月余,贫血伴浮肿20天入院。体检:面色苍白,浮肿貌,巩膜轻度黄染,颌下、腋下淋巴结肿大如黄豆,胸骨下端压痛(+),心前区闻及SM_2,向颈部,腋下传导。肝助下3cm,质中缘钝,无压痛。脾肋下可及。血红蛋白4～6g%,白细胞2200～3500,中性30～8%,杆状13%,晚幼1%,淋巴32～49%,并发现淋巴样细胞占24～30%,形态不整,有伪足或绒毛。血小板9.4万～10.6万.骨髓检查:粒:红=0.2:1,粒细胞增生低 Patients, male, 52 years old, medical record number 65449. September 26, 1986 due to fatigue, weight loss 2 years, palpitation, shortness of breath more than 4 months, anemia with edema 20 days admitted. Physical examination: pale, edema appearance, scleral mild yellow dye, submandibular, armpit lymph nodes such as soybeans, lower sternal tenderness (+), precordial area smell and SM_2, to the neck, axillary conduction. Liver help 3cm, the quality of the edge of blunt, no tenderness. Spleen ribs accessible. Hemoglobin 4 ~ 6g%, leukocytes 2200 ~ 3500, neutral 30 ~ 8%, rod 13%, late child 1%, lymphatic 32 ~ 49%, and found that lymphoid cells accounted for 24 to 30%, malformation, false Foot or fluff. Platelets 94,000 ~ 106,000. Bone marrow examination: tablets: red = 0.2: 1, low myelocytosis