患者,男性,38岁,因“左上腹持续性疼痛2周伴腰痛、乏力、消瘦”于2004年3月31日入院。无发热,无牙龈出血、鼻衄,无化学毒物接触史。T36℃,P75次/分,BP120/80mmHg。轻度贫血貌,浅表淋巴结无肿大,心肺听诊无异常,腹平、软,肝肋下未及,脾肋下4cm,质地中,无触痛,无移动性浊音。血常 The patient, male, 38 years old, was admitted to hospital on March 31, 2004 because of persistent pain in the left upper quadrant with low back pain, weakness and emaciation. No fever, no bleeding gums, epistaxis, no history of exposure to chemical poisons. T36 ° C, P75 breaths / min, BP120 / 80 mmHg. Mild anemia appearance, superficial lymph nodes without swelling, cardiopulmonary auscultation no abnormalities, abdominal flat, soft, liver and rib under the spleen ribs 4cm, texture, no tenderness, no mobility dullness. Blood often