男患,72岁,因乏力、消瘦、反复柏油样便1个月,进食呛咳10天于1994年8月18日入院。体检:贫血貌,左锁骨上及双侧腹股沟淋巴结肿大,最大为0.8cm×2.0cm,质硬,胸骨压痛明显,双肺呼吸音粗糙,右肺下野可闻及湿性罗音,心脏听诊正常,肝肋下4.0cm,质硬,脾左肋下3.0cm,双下肢凹陷 The male patient, aged 72, was admitted to hospital on August 18, 1994 due to fatigue, emaciation, repeated astrotube for 1 month, and cough for 10 days. Physical examination: anemic appearance, left supraclavicular and bilateral inguinal lymph nodes, the largest 0.8cm × 2.0cm, hard, sternal tenderness, lungs rough breathing sounds, right lung can smell the smell and wet rales, auscultation of the heart normal , Liver ribs 4.0cm, hard, spleen left rib 3.0cm, lower limbs depression