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患者男性,60岁,因乏力2月,体检发现外周血白细胞增高于1996年11月19日入院。患有高脂血症、胰岛素非依赖型糖尿病。体检:BP24/16kPa,未见皮肤黄染及出血点,未及肿大的浅表淋巴结;胸骨无压痛,心肺正常;肝肋下未及,脾肋下2cm,质软。血象:血红蛋白127g/L,网织红细胞0.004,白细胞45.7×10~9/L,分类:早幼粒0.01,中幼粒0.08,晚幼粒0.14,杆状核0.12,分叶核0.45,嗜酸粒0.01,嗜碱粒0.03,淋巴0.16,血小板数362×10~9/L。尿常规无异常。肝肾功能正常。血糖13.32mmol/L,甘油三酯3.26mmol/L,总
Male patient, 60 years old, due to fatigue in February, physical examination found that peripheral white blood cells increased in November 19, 1996 admission. Suffering from hyperlipidemia, insulin-independent diabetes. Physical examination: BP24 / 16kPa, no skin yellow dye and bleeding points, and swelling of the superficial lymph nodes; no tenderness in the sternum, normal heart and lung; liver and rib under the spleen ribs 2cm, soft. Blood: hemoglobin 127g / L, reticulocytes 0.004, leukocytes 45.7 × 10 ~ 9 / L, classification: promyelotic 0.01, young and medium grains 0.08, late young 0.14, rod 0.12, lobulated 0.45, acid Granules 0.01, basophils 0.03, lymph 0.16, platelets 362 × 10 ~ 9 / L. No abnormal urine. Liver and kidney function is normal. Blood glucose 13.32mmol / L, triglyceride 3.26mmol / L, total