患者男性 ,31岁。因腰骶部疼痛 6ｈ急诊入院。查体 :急性病容。多处浅表淋巴结肿大。胸骨压痛 ,双肺底闻及湿性罗音。肝下界位于肋下 6ｃｍ、剑下 8ｃｍ ,脾下界位于肋下6ｃｍ。实验室检查 :白细胞 118 5× 10 9/Ｌ ,幼稚细胞 0 9,淋巴细胞 0 1。红细胞 3 2 5× 10 12 /Ｌ ,? Patient male, 31 years old. Due to lumbosacral pain 6h emergency admission. Physical examination: acute disease. Many superficial lymph nodes. Sternal tenderness, both at the end of the lungs and wet rales. Under the liver is located under the ribs 6cm, 8cm under the sword, lower spleen is located in the ribs 6cm. Laboratory tests: leukocyte 118 5 × 10 9 / L, naive cells 0 9, lymphocytes 0 1. Red blood cells 3 2 5 × 10 12 / L,?