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患者女,24岁,贵州籍,汉族。因乏力骨痛偶发热4个月于1992年7月27日入院。院外作PPD检查,54强阳性,经抗痨治疗未见好转,以贫血原因待诊住院,家族中无类似病史。 检查:皮肤无出血点,淋巴结不大,心肺阴性;腹软,肝脾未扪及,神经系统检查无病理反射征。 实验室检查:Hb100g/L,WBC4.1×11~9/L,No.63,E0.05,M0.03,L0.29,未见幼稚细胞,血小板88×10~9/L,骨髓增生明显活跃,粒:红比例为2.17:1,粒细胞系统增生活跃,占56.5×,各阶段细胞形态正常,嗜酸性粒细胞百分比值增高。红系增生活跃,占26％,以晚幼红细胞为主,幼红细胞无异常,淋巴系无异常改变。巨核系全片见24个(其中产板型11个,裸核3个,颗粒型8个,幼稚2个)血小板成簇可见。片上见到较多的海兰组织细胞,该细胞大多圆或椭圆状,约5～7个成热红细胞大小,核圆,染色质凝块状,胞浆中充满
Female patient, 24 years old, Guizhou nationality, Han nationality. Fever due to bone pain even fever for 4 months on July 27, 1992 admission. Outside the hospital for PPD examination, 54 strong positive, the anti-tuberculosis treatment did not improve, waiting for the diagnosis of anemia hospitalized, no similar family history. Check: no bleeding skin, lymph nodes are not, heart-lung negative; abdomen soft, liver and spleen are not palpable, no pathological reflex neural examination. Laboratory tests showed that no blasts were found in Hb100g / L, WBC4.1 × 11 ~ 9 / L, No.63, E0.05, M0.03, L0.29, 88 × 10 ~ 9 / Clearly active, grain: red ratio of 2.17: 1, granulocyte system hyperplasia active, accounting for 56.5 ×, the cell morphology at all stages of eosinophil percentage increased. Red hyperplasia active, accounting for 26%, mainly to late red blood cells, erythroblasts no abnormal lymphoid abnormal changes. Megakaryon see 24 pieces of the whole film (which produced 11 plate type, 3 naked nucleus, particle type 8, naive 2) platelet clusters visible. See more high-cell tissue cells, most of the round or oval cells, about 5 to 7 into red blood cell size, nuclear round, chromatin, clot-like, full of cytoplasm