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作者收治的73例诊断为急性髓细胞型白血病(AML)患者中15例白细胞计数>10万/μl,用特殊的细胞化学染色和血清溶菌酶测定,发现其中11例为急性粒单型(AMML-M_4)和急性单核型(AMOL-M_5)白血病;58例白细胞计数低于10万/μl者,14例为M_4、M_5(P<0.001)。不管细胞类型,患者最初的白细胞计数高者脾肿大(73％)比白细胞低的(19％)要多;同时M_4、M_5患者中4例入院时,脑脊液发现白血病细胞,但在48例AML患者中无有。不管白细胞计数,所有M_4、M_5患者中血清溶菌酶明显增高平均59.7μg/ml,而其他细胞类型平均只有18.9μg/ml(P<0.0001)。M_4、M_5患者平均年龄53.6岁,其他类型56.3岁,范围15～79岁。两组血红蛋白3～14g/dl,平均9.4g/dl。AML平均最初体温99.8°F,M_4、M_5为100.4°F,范围98～104°F。患者白细胞计数
Of the 73 patients diagnosed with acute myeloid leukemia (AML), 15 had white blood cell counts> 100,000 / μl, with special cytochemical staining and serum lysozyme assays and found that 11 of them were acute myelomonocytic (AMML) M_4) and acute monocytic (AMOL-M_5) leukemia; 58 cases of white blood cell count less than 100,000 / l, 14 cases of M_4, M_5 (P <0.001). Regardless of the cell type, the initial high leukocyte count in patients with splenomegaly (73%) was much lower than that of leukocytes (19%), while leukemic cells were found in four of the M_4 and M_5 patients on admission to the cerebrospinal fluid. However, 48 patients with AML None in patients. Serum lysozyme was significantly increased by an average of 59.7 μg / ml in all M_4 and M_5 patients irrespective of leukocyte count, compared with an average of 18.9 μg / ml for all other cell types (P <0.0001). M_4, M_5 patients with an average age of 53.6 years, other types of 56.3 years old, range 15 to 79 years old. Two sets of hemoglobin 3 ~ 14g / dl, an average of 9.4g / dl. The average initial body temperature of AML was 99.8 ° F, M_4 and M_5 were 100.4 ° F, and the range was 98-104 ° F. Patient white blood cell count