论文部分内容阅读
网状肉瘤细胞白血病,系淋巴组织恶变之疾患。此病少发生于小儿,笔者曾遇到一例,现报告如下。患儿女性,9岁。因颌下,腋窝及腹股沟淋巴结肿大2年,于87年2月13日来我院就诊,查体:T37℃,P125次/分,R38次/分,BP14.66/9.33KPa。皮肤、粘膜无黄染及出血点;头部外观无畸形,双目瞳孔等大,光反射存在,耳鼻喉未见异常;双肺呼吸音清,无罗音,胸骨无压痛,心律125次/分,律整。颌下、腋窝及腹股沟可触及肿大的淋巴结,质韧,分叶状,无压痛。腹软,肝剑下3.0cm,质韧,脾肋下2.0cm质韧。血象:Hb110g/L,Bpc132×10~9/L,WBC2.9×10~9/L,分类杆状核0.020,分叶核0.150,淋巴0.540,单核0.010,网状肉瘤细胞0.280。骨髓示增生明显活跃,早幼粒0.030,中幼粒0.055,晚幼粒0.
Reticulomatous cell leukemia, Department of malignant diseases of lymphoid tissue. This disease occurs rarely in children, I have encountered a case, the report is as follows. Children with children, 9 years old. Due to the submandibular, axillary and inguinal lymph nodes 2 years, February 13, 87 came to our hospital, physical examination: T37 ℃, P125 beats / min, R38 beats / min, BP14.66 / 9.33KPa. Skin and mucous membrane without yellowing and bleeding; head appearance without deformity, binocular pupil and other large, light reflection exists, no abnormal ENT; lung breath sound clear, no rales, sternum no tenderness, heart rate 125 beats / Points, law and order. Submandibular, armpit and groin can reach swollen lymph nodes, quality and tough, lobulated, no tenderness. Abdomen soft, liver sword 3.0cm, quality toughness, spleen 2.0cm quality toughness. Blood: Hb110g / L, Bpc132 × 10 ~ 9 / L, WBC2.9 × 10 ~ 9 / L, classification of rod-shaped nucleus 0.020, lobulated nuclear 0.150, lymphoid 0.540, mononuclear 0.010, reticular sarcoma 0.280. Bone marrow showed obvious hyperplasia, promyelocytic 0.030, 0.055 in the juvenile, late juvenile 0.