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三、骨髓 AIDS患者骨髓主要表现为淋巴组织细胞性增生,骨髓细胞数目减少,脂肪组织浆液性萎缩、并有大量浆细胞。有抗酸杆菌(如MAI)感染时,可见多发性肉芽肿。小肉芽肿为淋巴组织细胞聚集灶,也有由泡沫性巨噬细胞组成,胞浆内充满MAI。大的肉芽肿可见上皮样组织细胞集团。也有报道认为由于骨髓有增生异常,外周血液可出现正色正细胞性贫血和粒细胞减少,骨髓内的细胞正常或增加,髓细胞系与红细胞系比值增加,巨核细胞增加,各系列细胞均有成熟异常,以粒系最为突出。这些变化,与白血病前期近似、
Third, bone marrow in patients with bone marrow AIDS patients mainly for lymphoid cell proliferation, decreased number of bone marrow cells, adipose tissue serous atrophy, and a large number of plasma cells. With acid-fast bacilli (such as MAI) infection, multiple granulomas can be seen. Small granulomas for lymphoid tissue cell focus, but also by the foam of macrophages, cytoplasm filled with MAI. Large granulomas visible epithelioid cell group. It has also been reported that due to abnormal proliferation of bone marrow, peripheral blood may appear orthochromatic anemia and neutropenia, normal or increased bone marrow cells, increased ratio of myeloid and erythrocyte lines, megakaryocytes, the series of cells are mature Abnormal, the most prominent grain system. These changes, similar to the pre-leukemia,