急性白血病致骨髓坏死2例报告

来源 :滨州医学院学报 | 被引量 : 0次 | 上传用户:zhangfuliangez
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例1,男,56岁,教师。因发热、多汗、全身骨骼肌肉疼痛,于1989年1月21日来我院就诊。查体:急性病容,全身浅表淋巴结未触及,肝剑下3cm,肋下2cm,质韧,脾肋下5cm,胸骨及肋骨压痛明显。血象:RBC4.2×10~(12)/L,Hb110g/L,WBC28.1×10~9/L,分类原粒0.20,早幼粒0.05,杆状核0.08,分叶核0.50,淋巴0.17。幼稚细胞胞体大小较一致,胞体直径14~18μm,胞浆量适中,蓝色,少数细胞浆内可见多少不等的粗大嗜苯胺蓝颗粒,胞浆伪足,白血 Example 1, male, 56 years old, teacher. Due to fever, sweating, body muscle pain, in January 21, 1989 came to our hospital. Physical examination: acute disease, systemic superficial lymph nodes not touched, liver sword 3cm, ribs 2cm, quality and tough, spleen ribs 5cm, chest and ribs tenderness significantly. Blood: RBC4.2 × 10 ~ (12) /L, HB110g / L, WBC28.1 × 10 ~ 9 / L, classification of primary particles 0.20, promyelotic 0.05, rod nucleus 0.08, lobulated nuclear 0.50, lymph 0.17 . Naive cells more uniform body size, cell body diameter 14 ~ 18μm, cytoplasm volume is moderate, blue, a small number of cytoplasm can see a number of unequal coarse aniline blue particles, cytoplasm pseudopodia, white blood
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