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我们收治了1例骨髓纤维化患者,经1年多并发慢性粒细胞白血病并急性变。现将其病历摘要报告如下。 患者陈某,男,59岁,山东籍,汉族。患者自1978年初常感头晕无力,上腹部隐痛,心悸气促,尤其活动时加重。1978年5月因工作过累,曾昏倒1次,而住院检查。患者贫血病容,消瘦,表浅淋巴结未触及,心肺未发现异常。腹软,肝于肋下2cm,脾于助下1cm。血红蛋白6.5g/dl,红细胞200万。网织红细胞4％,周围血偶见晚幼红细胞。白细胞12,000,分类正常,血小板15万,肝肾功能正常,做
We treated 1 patient with myelofibrosis who developed acute myeloid leukemia more than 1 year later. Now the summary of the medical records are as follows. Patient Chen, male, 59 years old, Shandong nationality, Han nationality. Patients often feel dizzy and weak since the beginning of 1978, abdominal pain, palpitations, shortness of breath, especially aggravating activities. May 1978 due to work tired, had fainted 1, and hospitalization. Patients with anemia, weight loss, superficial lymph nodes not touched, no abnormal heart and lung. Abdominal soft, liver in the ribs 2cm, spleen help 1cm. Hemoglobin 6.5g / dl, 2 million red blood cells. Reticulocyte 4%, peripheral blood occasionally late red blood cells. WBC 12,000, normal classification, 150,000 platelets, liver and kidney function is normal, do