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本文对 2 4例慢性粒 -单核细胞白血病 (CMML)的临床特征和血液学表现进行分析。根据骨髓粒单核细胞系和红细胞系比例、血细胞病态造血、外周血白细胞计数以及脾脏肿大程度等特征 ,将 CMML 分为两种亚型 ,即具有骨髓增殖性疾病 (MPD)特征的 CMML 为真性 CMML,应归于 MPD或慢性髓细胞白血病 (CML)的一个亚型 ;具有骨髓增生异常综合征 (MDS)特征的 CMML 为 MDS- CMML,称单核细胞增多的难治性贫血 (RAM)。同时将这两种亚型的诊断标准进行提议。
This article analyzes the clinical features and hematological features of 24 patients with chronic myelomonocytic leukemia (CMML). According to the characteristics of bone marrow mononuclear cell line and red blood cell lineage, hematopoietic hematopoiesis, peripheral blood leukocyte count, and splenomegaly, CMML was divided into two subtypes: CMML with myeloproliferative disease (MPD) characteristics. True CMML is attributable to one subtype of MPD or chronic myeloid leukemia (CML); CMML with myelodysplastic syndrome (MDS) features is MDS-CMML, and mononucleosis is referred to as refractory anemia (RAM). At the same time, the diagnostic criteria for these two subtypes are proposed.