本文在原对急性粒细胞减少症的认识的基础上,对通过4例的实践而获得的一些新的认识进行了小结,对一些于本病的早期诊断可能有意义的早期征象,提出分析意见,即:单核细胞增多可能是急性粒细胞减少症早期改变的指征;本病单核细胞增多,可能是机体出现抗原抗体反应的结果;粒细胞百分率的减低,是本病发展到相当程度时的表现;中毒颗粒的出现,对本病与严重感染无鉴别诊断价值。作者并进一步提出对该病的早期诊断依据。 Based on the original understanding of acute granulocytopenia, this article summarizes some of the new insights gained through the practice of 4 cases, and puts forward some analytical opinions on some of the early signs that may be of significance in the early diagnosis of this disease. Namely: mononucleosis may be an indicator of early changes in acute neutropenia; mononuclear cells in this disease may be the result of the body antigen-antibody reaction; reduce the percentage of granulocytes is the development of this disease to a considerable extent The performance of poisoning particles, the diagnosis of this disease and no serious non-diagnostic value. The author further put forward the basis for the early diagnosis of the disease.