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wei ai ban lei bai xue bing fan ying yi li
Author(s): 
Pages: 355
Year: Issue:  5
Journal: Journal of Clinical Internal Medicine

Keyword:  胃癌类白血病反应;
Abstract: 患者,39岁,女性.发热伴中上腹不适20天入院.无明显诱因出现发热,体温38 ~ 39.5℃,偶有咳嗽,少许白痰,伴中上腹胀痛、解黑便,感乏力,纳差,无呕血、鼻衄等.门诊查血常规WBC 64.4×109/L,Hb 95 g/L,PLT598×109/L,中性粒细胞占75.0%,异常细胞占2%;增强CT检查提示胃壁广泛增厚伴肿块,考虑为恶性肿瘤;双侧胸腔及腹腔、盆腔少量积液.予美罗培南抗感染等治疗后收住院.发病以来体重下降约3 kg.体格检查:T39℃,P 124次/分,Bp117/66mmHg.
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