患者 ,男 ,18岁。 1997年 7月因乏力、脾巨大在外院诊断为慢性粒细胞白血病 ,经马利兰等治疗后症状缓解 ,血象正常出院。 1998年 10月 10日因发热、头昏及牙龈出血收入我院。查体 :体温 39.1℃ ,呼吸 2 8次 /分 ,急性病容 ,皮肤粘膜有散在出血点 ,全身浅表淋巴结无肿大 ,巩膜无 Patient, male, 18 years old. In July 1997, chronic myeloid leukemia was diagnosed in hospitals due to fatigue and splenomegaly. Symptoms resolved after treatment with Mariel and the blood was discharged. On October 10, 1998, I was admitted to our hospital due to fever, dizziness and gum bleeding. Physical examination: body temperature 39.1°C, respiratory rate 28 times/min, acute disease, skin and mucous membranes scattered in the bleeding sites, no superficial lymph node enlargement, no sclera