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病史摘要患者女性,35岁。因进行性脾肿大4年,于1984年8月18日住院。患者于1980年10月起因多次腹痛,伴呕吐胃内容物,当地医院诊断为急性胰腺炎给予禁食、补液、抗生素治疗。3天后症状缓解,转某人民医院治疗,发现脾脏轻度肿大,此后逐年加重。1981年3月肋下4指,1983年4月平脐,伴进食后腹胀不适。半年来易乏力,近两月常有牙龈出血。发病以来无呕血、发热、体重减轻,胃纳尚可,大小便正常。三年来多次肝功能及蛋白
Summary of patient history Female, 35 years old. Due to progressive splenomegaly for 4 years, on August 18, 1984 hospitalization. Patients in October 1980 due to multiple abdominal pain, vomiting stomach contents, the local hospital diagnosed with acute pancreatitis given fasting, fluid replacement, antibiotic treatment. 3 days after the symptoms were relieved, transferred to a People’s Hospital for treatment, found that mild splenomegaly, and then increased year by year. March 1981 ribs 4 means, in April 1983 flat umbilical, with discomfort after eating bloating. Easy to fatigue in the past six months, often bleeding gums in the past two months. Since the onset of no hematemesis, fever, weight loss, appetite is acceptable, normal urine. Three years many liver function and protein