原发性肝癌出现类白血病反应者较少,作者遇见1例。患者男性,48岁,于1981年1月13日住长庆油田职工医院。入院前2月上腹不适、轻度恶心,10天后开始发热,伴畏寒,食欲锐减,时有腹泻。体检:体温38.7℃,营养中等,皮肤无黄染。心肺阴性。腹软,肝肋下1厘米,脾侧卧位肋下1.5厘米,质中,无触痛及叩痛。化验:血红蛋白11.5克%,白细胞34,000/mm~3,中性88%,淋巴11%,嗜酸性1%,血小板123,000/mm~3。血沉70毫米/第1小时 Primary leukemia-like leukemia responders were less, the authors met in 1 case. Male patient, aged 48, lived in Changqing Oilfield Workers Hospital on January 13, 1981. Abdominal discomfort in February before admission, mild nausea, 10 days after the start fever, with chills, loss of appetite, sometimes diarrhea. Physical examination: body temperature 38.7 ℃, medium nutrition, skin yellow dye. Heart-lung negative. Abdominal soft, liver ribs 1 cm, 1.5 cm ribs in the spleen lateral position, quality, no tenderness and percussion pain. Assay: hemoglobin 11.5 g%, white blood cells 34,000 / mm ~ 3, neutral 88%, lymphatic 11%, 1% eosinophilic, platelet 123,000 / mm ~ 3. ESR 70 mm / first hour