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乙型病毒性肝炎并急性单核细胞白血病临床罕见,我院于1989年9月收治1例,现报道如下. 男患,42岁.病人曾因乏力,纳差,肝区隐痛3个月,于1986年1月27日住院.当时查体:皮肤,巩膜无黄染,浅表淋巴结不肿大,心肺正常,肝肋下1.0cm,脾肋下未触及.Hb112g/L,WBC.2×10~9/L,N0.50.L0.42,E0.06,M0.02,BPC100×10~9/L,肝功能:Ⅱ正常,TTT16u.TFT+++,ALT128u(赖氏法),HBsAg阳性(1:64),HBeAg(+),抗-HBc(+),肝活组织检查符合慢性迁延型肝炎病理改变。诊断
Hepatitis B and acute monocytic leukemia clinical rare, our hospital was admitted in September 1989 in 1 case, are reported as follows.Male, aged 42, the patient had due to fatigue, anorexia, liver pain for 3 months, Was hospitalized on January 27, 1986. At that time, physical examination: skin, sclera no yellow dye, superficial lymph nodes did not enlarge, normal heart and lung, liver ribs 1.0cm, spleen ribs did not touch.Hb112g / L, WBC.2 × 10 ~ 9 / L, N0.50.L0.42, E0.06, M0.02, BPC100 × 10-9 / L, liver function: Ⅱ normal, TTT16u.TFT +++, ALT128u (Lai’s method), HBsAg positive 1:64), HBeAg (+), anti-HBc (+), liver biopsy consistent with pathological changes of chronic persistent hepatitis. diagnosis