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例1,女,29岁.因面黄乏力1个月,发热半个月于1989年4月3日入院.体检:T 38.2℃,神志清,贫血貌,皮肤无出血点,浅表淋巴结不肿大,巩膜无黄染,颈软,颈静脉不怒张,甲状腺不肿大.胸骨压痛(+),心率102次/分,律整,二肺无异常发现,腹软,肝脾助下未触及.入院后查WBC 7.2×10~9/L,Hb 50g/L,BPC×76×10~9/L,幼稚细胞0.42.入院次日从髂后、髂前、胸骨多部位穿刺抽出物均呈红色胶陈状.涂片瑞氏染色后镜检呈紫红色均匀片状结构,细胞形态模糊不清.骨髓活俭病理检查见骨小梁及白血病细胞坏死.其间隐约可见原始细胞及中性粒细胞.复查外周血涂片原单核细胞0.32,幼单细胞0.14,诊断急性单核细胞性白血病并发骨髓坏死,住院9天因经济困难而放弃治疗,自动出院.
Case 1, female, 29 years old due to facial yellow weakness 1 month, fever half a month on April 3, 1989 admitted to hospital Physical examination: T 38.2 ℃, clear consciousness, anemia appearance, no bleeding skin, superficial lymph nodes Swollen, sclera no yellow dye, neck soft, jugular vein does not anger, thyroid enlargement .Sustomedial tenderness (+), heart rate 102 beats / min, law, lung no abnormal findings, After admission, WBC 7.2 × 10 ~ 9 / L, Hb 50g / L, BPC × 76 × 10 ~ 9 / L and naive cells were 0.42. All showed a red plastic Chen-like smear Wright’s stain microscopic examination showed a uniform purple-like sheet structure, cell morphology was blurred bone marrow thrombocytopenia pathological examination see trabecular bone and leukemia cell necrosis during which vaguely visible primitive cells and in Promyelocytic reexamination of peripheral blood smear mononuclear cells 0.32, young single cells 0.14, diagnosis of acute monocytic leukemia complicated with bone marrow necrosis, hospital 9 days due to financial difficulties and give up treatment, discharged automatically.