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患者江××男46岁无明显诱因吞咽时胸骨后疼痛,低热、寒战1个月。齿龈出血、黑便及眼前黑影2天,于1992年11月20日入院。实验室检查:血白细胞59.6×10~9/L,原始单核细胞0.4,幼稚单核细胞0.3,原始粒细胞0.26,血小板40×10~9/L,凝血酶元时间20分钟,3P 试验弱阳性,尿红细胞((?)),大便潜血((?))。经骨髓穿刺及全身检查确诊为急性单核细胞性白血病并肺内感染。入院后第2天患者突然右眼失明,眼球明显向前突出。眼科检
Patients × × male 46-year-old no obvious incentive to swallow the chest pain, fever, chills 1 month. Gingival bleeding, melena and immediate dark shadow 2 days, on November 20, 1992 admission. Laboratory tests: white blood cells 59.6 × 10 ~ 9 / L, the original mononuclear cells 0.4, naive monocytes 0.3, the original granulocytes 0.26, platelets 40 × 10 ~ 9 / L, thrombin time 20 minutes, 3P test weak Positive, urinary red blood cells ((?)), Fecal occult blood ((?)). Bone marrow puncture and systemic examination confirmed acute monocytic leukemia and pulmonary infection. On the second day after admission, the patient suddenly had a blindness in the right eye, and the eyeball obviously protruded forwardly. Eye examination