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1 病例摘要患女,45岁,因齿龈出血头晕乏力一月余伴低热,活动后心悸气急二周入院。有苯接触史14年,其间出现白细胞减少,最低至1.3×10~9/L,经治疗曾上升至3.0×10~9/L,近6年未再与苇接触。查体:轻度贫血貌,躯干有针尖大出血点3~4个,左膝关节外侧有瘀斑局部压痛,全身浅表淋巴结未触及,心肺(-)肝脾肋下未触及。实验室检查:Hb80g/L,RBC2.5×10~(12)/L,WBC3.45×10~9/L,分类见原粒
1 case summary suffering from women, aged 45, due to gingival bleeding, dizziness, fatigue for one month with fever, palpitation after activity two weeks admitted to hospital. Benzene exposure history of 14 years, during which leukopenia, the lowest to 1.3 × 10 ~ 9 / L, after treatment had risen to 3.0 × 10 ~ 9 / L, no contact with the reed 6 years. Physical examination: mild anemia, torso needle tip bleeding 3 to 4, left lateral knee petechia local tenderness, systemic superficial lymph nodes not touched, heart and lung (-) liver and spleen ribs did not touch. Laboratory tests: Hb80g / L, RBC2.5 × 10 ~ (12) / L, WBC3.45 × 10 ~ 9/L, see the original classification