患者男,58岁,因全身骨骼疼痛于1989年3月30日在上海市某医院经骨髓涂片和组织化学染色诊断为急性淋巴细胞性白血病L_2型,用“VCR+ACA”方案化疗6个疗程,鞘内注射MTX1次,复查骨髓象完全缓解后于1989年5月20日出院。二个月后,因症状复发收入本科。查体:贫血貌,全身皮肤有散在出血点,两肺阴性,肝肋下未及,脾 Male, 58 years old, diagnosed with acute lymphoblastic leukemia type L_2 by bone marrow smear and histochemical staining at a hospital in Shanghai City on March 30, 1989 due to systemic bone pain. Six patients were treated with “VCR + ACA” regimen Course of treatment, intrathecal injection of MTX1, review of bone marrow completely relieved after May 20, 1989 was discharged. Two months later, due to recurrence of income undergraduate. Physical examination: anemia appearance, systemic skin scattered bleeding point, two lungs negative, liver and rib under the spleen