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患者男,32岁,因头昏,乏力,面色苍白月余,不规则发热半月于1991年9月7日入院。体检:贫血貌,西侧颈部、腋下及腹股沟触及数个蚕豆大小淋巴结,质中,无触痛,胸骨下端压痛(+),左上臂及肩胛区皮肤散在出血点,心肺听诊正常范围,肝肋下3.5cm,脾肋下6cm。实验室检查:Hb64g/L,WBC18×10~9/L,N18%,L6%,原淋+幼淋76%,PL4.0×10~9/L。骨髓检查:示增生极度活跃,原淋+幼淋占86.5%,FAB分类属急性淋巴细胞白血病—L_1型。其中约27%原始细胞镜下见其前部增大,后为狭长伪足样尾部,外形有如手
Male patient, 32 years old, was dizzy, weak, pale months, irregular menstruation admitted on September 7, 1991. Physical examination: anemia appearance, western neck, armpit and groin touched several Vicia faba lymph nodes, mass, no tenderness, tenderness in the lower part of the sternum (+), scattered upper and lower limbs and scapular skin bleeding, Liver ribs 3.5cm, spleen ribs 6cm. Laboratory tests: Hb64g / L, WBC18 × 10 ~ 9 / L, N18%, L6%, original leaching + 76%, PL4.0 × 10 ~ 9 / L. Bone marrow examination showed hyperproliferation was extremely active, the original leaching + preterm infants accounted for 86.5%, FAB classification is acute lymphoblastic leukemia-L_1 type. Approximately 27% of the original cells see the front increased, followed by the elongated pseudopodia-like tail, shape like a hand