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患者,男36岁,已婚,农民。峰口矿区人。主诉:阴茎异常勃起二天伴有压痛无法排尿来就诊,乏力,心悸低热6年,鼻衄、牙龈出血10天查白细胞60×10~9/L,中幼粒细胞占80%,血小板370×10~9/L。查体:T37℃,P82次/分,R18次/分,BP16/11KpammHg,发育正常,营养欠佳,神志清,精神差,贫血面容,自动体位,查体合作,前胸壁及腹壁可视之散在出血点,左颈部可触及约5×4cm,大小淋巴结,压之疼痛无活动,肝大7cm,脾大8cm 诊断为“慢性粒细胞型白血病”给“长春新碱”、阿糖胞苷等药物治疗,不久病人自觉症状明显好转,遵医嘱回家长期服用“白消安”于5月10日出院,87
Patient, male, 36 years old, married, farmer. Peak mouth people. The main complaint: penile erection two days accompanied by tenderness can not urinate to treatment, fatigue, palpitations and fever for 6 years, epistaxis, gingival bleeding 10 days to check leukocytes 60 × 10 ~ 9 / L, 80% of neutrophils, platelet 370 × 10 ~ 9 / L. Examination: T37 ℃, P82 / min, R18 beats / min, BP16 / 11KpammHg, normal development, poor nutrition, clear consciousness, poor spirit, anemia, autopsy, physical examination, visualization of the anterior chest wall and abdominal wall Scattered in the bleeding point, the left neck can reach about 5 × 4cm, the size of the lymph nodes, pressure pain without activity, liver 7cm, splenomegaly 8cm diagnosis of “chronic myeloid leukemia” to “vincristine”, cytarabine Such as drug treatment, shortly after the patient’s symptoms improved significantly, according to the doctor’s home long-term use of “white consumer safety” was discharged on May 10, 87