患者男,49岁。于两个月前排少量黑便数日,后感心悸,乏力日益加重,间或有少量牙龈出血和鼻衄。二十天前劳动后出现双下肢浮肿,咳嗽痰中有血丝,自觉发烧乏力,周身不适,于1981年4月10日入院。检查:体温36℃,皮肤粘膜苍白,双下肢皮肤表面可见散在出血点,双颌下及腹股沟部淋巴结可触及黄豆大小,无粘连,胸骨有压痛,心肺未见异常,肝脾未触及。实验室检查:红细胞137万,血红蛋白4.0克％,白细胞18000,分类可见多数幼稚细胞,原始幼稚细胞占38％,形态似原始粒、原幼单。胞体大,较一致,呈圆或椭圆形,浆丰富较规则,偶见伪足样突 Male patient, 49 years old. In a few months ago a small amount of melena row days, after feeling palpitations, fatigue, increasing, occasionally a small amount of gum bleeding and epistaxis. Twenty days before the work appeared after the lower extremity edema, cough, blood stained sputum, consciously fever, fatigue, whole body discomfort, in April 10, 1981 admission. Check: Body temperature 36 ℃, pale skin and mucous membranes, skin surface of both lower extremities scattered scattered bleeding, submandibular and inguinal lymph nodes can reach the size of soybeans, no adhesion, sternal tenderness, no abnormal heart and lung, liver and spleen not touched. Laboratory tests: 1.37 million erythrocytes, 4.0 grams of hemoglobin, 18,000 leukocytes, the majority of naive cells can be seen in the classification, the original naive cells accounted for 38% of the original morphology of the original grain, the original single. Cell body large, more consistent, was round or oval, rich in plasma more rules, and occasionally pseudopodia-like process