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慢性粒细胞白血病(以下简称慢粒)急淋急粒双重变极少见,而以此为首发的慢粒更少见,现介绍如下。 [病例]男,35岁。因头晕、乏力二十余日,右胸痛并痰中带血一周于1992年7月23日入院。查体:体温36.7℃,脉搏 78次/min,呼吸16次/min,血压14/8kPa。一般状态较好,无贫血貌,浅表淋巴结无肿大。心肺未见阳性体征。腹平软,肝肋下未触及,脾肋下3.0cm,质中等,无触痛,余未见阳性体征.实验室检查:WBC 84.0×10~9/L,RBC5.15×10~(12)/L,Hb 148g/L,BPC 302×10~9/L;胸部拍片未见异常;B超示脾肿大;骨髓象示:增生
Chronic myeloid leukemia (hereinafter referred to as slow-grain) acute acute double acute changes in the extremely rare, and as a starting point for the more rare grain, are described below. [Case] Male, 35 years old. Due to dizziness, fatigue more than 20 days, right chest pain and bloody sputum in a week in July 23, 1992 admission. Physical examination: body temperature 36.7 ℃, pulse 78 beats / min, breathing 16 times / min, blood pressure 14 / 8kPa. The general state is good, no anemia, superficial lymph nodes without swelling. Cardiopulmonary no positive signs. Abdominal soft, abdominal ribs were not touched, splenic ribs 3.0cm, medium, no tenderness, I no positive signs.Laboratory examination: WBC 84.0 × 10 ~ 9 / L, RBC5.15 × 10-12 ) / L, Hb 148g / L, BPC 302 × 10 ~ 9 / L; chest anomalies no abnormalities; B ultrasound showed splenomegaly;