病例摘要储某,男,20岁。因鼻衄伴全身皮肤粘膜出血点于1986年11月入院。查体:左颈部可及数枚蚕豆大小的淋巴结,互相粘连,质地较硬,无压痛,肝右助下3cm,质中度硬,轻度压痛,脾左肋缘下3.5cm,质硬,胸骨压痛(+)。实验室检查:血红蛋白100g/L,白细胞138×10~9/L,原淋+幼淋63%,淋巴27%,血小板24×10~9/L,血清 Case summary storage a, male, 20 years old. Due to epistaxis with systemic skin and mucous membrane bleeding in November 1986 admitted. Physical examination: the left neck and several beans can reach the size of the lymph nodes, adhesion to each other, the texture is hard, no tenderness, right liver help 3cm, moderate moderate hardness, mild tenderness, spleen left costal margin of 3.5cm, hard , Sternal tenderness (+). Laboratory tests: hemoglobin 100g / L, leukocytes 138 × 10 ~ 9 / L, the original leaching + 63% of lymphocytes, lymph, 27%, platelets 24 × 10 ~ 9 / L, serum