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患者男,出生后1天。因气急3小时急诊入院。系第一胎第一产,足月顺产。出生时有窒息史。体检:体重2.4kg,嗜睡,时有尖叫,反应差,口唇青紫,囱门平,心肺无异常,腹软,肝肿肋下4cm,脾肿大肋下3cm,质Ⅱ°。实验室检查:血红蛋白110g/L,白细胞115×10~9/L,血小板110×10~9/L,中性16%,淋巴4%血片:原始幼稚细胞占80%,大小便常规阴性。骨髓检查:见大量幼稚细胞占69%%,细胞特征为圆形,胞浆量少,蓝色,有伪足突出,浆内可见颖粒,胞核圆,部份有切迹,染色质很细,有核仁2～4个,过氧化酸染色阴性,糖元染色阴性。淋巴细胞白血病
Male patient, one day after birth. Due to shortness of breath 3 hours emergency admission. Department of the first birth of the first birth, term full-term. Birth history of suffocation. Physical examination: weight 2.4kg, drowsiness, screaming, poor response, lips purple, Himen flat, no abnormal heart and lung, abdominal soft, liver ribs 4cm, splenomegaly ribs 3cm, quality Ⅱ °. Laboratory tests: hemoglobin 110g / L, white blood cells 115 × 10 ~ 9 / L, platelets 110 × 10 ~ 9 / L, 16% of the neutral, lymphatic 4% blood film: 80% of primitive naive cells, urine routine negative. Bone marrow examination: See a large number of immature cells accounted for 69 %%, characterized by round cells, less cytoplasm, blue, with pseudopodia prominent pulp visible grains, nucleus round, part of the notch, chromatin is very Fine, 2 to 4 nucleolus, peroxidase staining negative, glycogen staining negative. Lymphocytic leukemia