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患者,男,60岁。因“双眼睑水肿、头痛4个月余,加重7d”于4月7日入住我科。起病后在当地医院诊断不明,治疗无效。既往有鼻窦炎病史。入院体检:神清,查体欠合作。贫血貌,鼻腔出血,双下肢及眼睑水肿,浅表淋巴结不大,心肺听诊无异常,腹软,肝肋下未及,脾平脐。脐偏右扪及一鸭蛋大小包块,与各脏器关系不清。血常规:白细胞4.3×109/L,血红蛋白46.3g/L,血小板176×109/L。肝肾功能:谷丙转氨酶16U/L,总蛋白93g/L,白
Patient, male, 60 years old. Because of “double eyelid edema, headache more than 4 months, increased 7d ” on April 7 admitted to our department. After the onset of diagnosis in the local hospital is unknown, the treatment is invalid. Past history of sinusitis. Admission medical examination: God clear, physical examination owed cooperation. Anemia appearance, nasal bleeding, both lower extremities and eyelid edema, superficial lymph nodes is not large, cardiopulmonary auscultation no abnormalities, abdominal soft, under the ribs of the liver, spleen and umbilical cord. Umbilical right palpable and a duck egg size mass, and the relationship between the organs unclear. Blood: white blood cells 4.3 × 109 / L, hemoglobin 46.3g / L, platelets 176 × 109 / L. Liver and kidney function: alanine aminotransferase 16U / L, total protein 93g / L, white