摘要:患者,女,71岁.因头昏,乏力2+月于2001年3月19日入院.查体:重度贫血貌;四肢躯干皮肤未见瘀点、瘀斑;胸骨无压痛;肝、脾未及,肾区无叩痛;腰椎叩痛.入院时血常规:WBC 4.0×109/L,Hb 57g/L,PLT74×109/L.骨髓涂片:骨髓增生活跃,原始浆细胞20%,成熟红细胞呈缗钱状.肾功正常.血、尿本周氏蛋白阳性.
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