浆细胞性白血病是白血病中少见的特殊类型。我院最近收治一例,现报告如下: 朱××,男,73岁、湖南耒阳县人。因全身淋巴结肿大伴不规则发热二十余日,于1981年12月9日收住我院。发病后纳差,消瘦。既往身体健康。入院体格检查:体温38.6℃,脉搏96次/分,呼吸20次/分,血压120/80毫米汞柱。急性重病容,神志清楚,合作。皮肤粘膜未见出血点,双侧颌下、颏下、颈部、腋下、腹股沟均可触及一至数个黄豆至蛋黄大小的淋巴结,活动,质中等,无触痛。心界不扩大,心率96次/分,律齐,未闻及病理性杂音。右下肺可闻及少许湿罗音。腹部隆起,可叩及移动性浊音,肝下界在肋下4.5厘米,质地中等,无触痛。脾肋下3厘米,无触痛。脊柱、四肢和神经系统未 Plasmacytic leukemia is a rare type of leukemia. Our hospital recently admitted to a case, the report is as follows: Zhu × ×, male, 73 years old, Hunan Xingyang County. Due to systemic lymphadenopathy with irregular fever more than twenty days, in December 9, 1981 admitted to our hospital. After the onset of anorexia, weight loss. In the past, good health. Admission physical examination: body temperature 38.6 ℃, pulse 96 beats / min, breathing 20 beats / min, blood pressure 120/80 mm Hg. Acute serious illness, conscious, cooperation. Skin mucosa no bleeding, bilateral submandibular, chin, neck, underarm, groin can reach one to several soybeans to egg-sized lymph nodes, activity, medium, no tenderness. Heart does not expand, heart rate 96 beats / min, law Qi, no smell and pathological murmur. Lower right lung can smell a little wet rales. Abdomen bulge, percussion and mobility may be voiced, the lower edge of the liver in the ribs 4.5 cm, medium texture, no tenderness. Spleen ribs 3 cm, no tenderness. Spine, limbs and nervous system are not