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患者女、59岁、教师。因反复腹泻6月,双髋及下肢疼痛伴阵发性加剧20天于1986年8月2日入院。体检除贫血消瘦外,余无异常。实验室检查:Hb58g/L、wbc13.3×10~9/L、N76%、L17%、ET%。ESR174mm/h。血浆A33g/LG38g/L。血清蛋白电泳:B球蛋白54%,余正常。血免疫球蛋白:IgA5.64g/L,IgG6.95g/L、Ig1.30g/L。肝、肾功正常,HBsAg(一)。血清T_2315ng%、T_410.5ug、CEA(癌胚抗原)21.6ng/ml。尿常规:蛋白廿。尿子周氏蛋白阳性。
Female patient, 59 years old, teacher. Due to repeated diarrhea in June, double hip and lower extremity pain with paroxysmal exacerbations 20 days in 1986 August 2 admission. Except for anemia and weight loss examination, I no exception. Laboratory tests: Hb58g / L, wbc13.3 × 10 ~ 9 / L, N76%, L17%, ET%. ESR174mm / h. Plasma A33g / LG38g / L. Serum protein electrophoresis: B globulin 54%, more than normal. Blood immunoglobulins: IgA 5.64 g / L, IgG 6.95 g / L, Ig 1.30 g / L. Liver, kidney function is normal, HBsAg (a). Serum T_2315ng%, T_410.5ug, CEA (carcinoembryonic antigen) 21.6ng / ml. Urine routine: protein twenty. Zhou urine protein positive.