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患者女,24岁.1月前无明显诱因下出现头昏乏力、纳差,就诊于当地医院不见好转,遂于1991年6月15日转入我院.体检:一般情况尚可,心肺听诊正常,肝脾肋下触及,左腋下触及数颗淋巴结,不粘连,有触痛,无出血症状.神经系统检查正常.血象:WBC76.2×10~9/L,原始细胞0.01,早幼粒0.03,中幼粒0.08,晚幼粒0.10,中性分叶0.58,淋巴0.06,嗜酸0.02,嗜碱0.09,单核0.03,Hb80g/L,血小板计数1400.8×10~9/L.涂片血小板成片出现,散在血小板多为小型,未见巨大者.网织红细胞0.02.大小便常规和肝功能检查均在正常范围.骨髓检查:有核细胞增生极度活跃,粒巨两系显著增多(大量病态生成).分类为粒系0.94,其中原料0.01,早幼粒0.045,中幼粒0.155,晚幼粒0.18,杆状和分叶核0.335,嗜酸0.135,嗜碱0.035,幼红细胞0.025.巨核细胞占有核细胞0.011,在1.5cm×3.0cm厚薄均匀的涂片内计有1692只.巨核细胞分类:原巨
Female patient, 24 years old .There was no obvious incentive 1 month ago, dizziness, fatigue, anorexia, treatment in the local hospital did not improve, then transferred to our hospital on June 15, 1991. Physical examination: the general situation is acceptable, cardiopulmonary auscultation Normal, touching the ribs under the liver and spleen, left axillary reach several lymph nodes, no adhesion, tenderness, no bleeding symptoms .Normal nervous system examination. Blood: WBC76.2 × 10 ~ 9 / L, primitive cells 0.01, Grain 0.03, medium and small grains 0.08, late grains 0.10, neutral leaves 0.58, lymph 0.06, acidophilic 0.02, basophils 0.09, mononuclear 0.03, Hb80g / L, platelet count 1400.8 × 10 ~ 9 / L. Smear Platelets appear, scattered platelets are mostly small, no giant reticulocyte 0.02 urine routine and liver function tests are in the normal range of bone marrow examination: nucleated cell hyperplasia is extremely active, granulosarcoma two significantly increased A large number of pathological changes.) Classification as a grain 0.94, of which raw material 0.01, promyelocytic 0.045, jujube 0.155, late juvenile 0.18, rod and leaf core 0.335, eosinophilic 0.135, basophilic 0.035, erythroid 0.025. Megakaryocytes occupy 0.011 of nucleated cells, accounting for 1692 in 1.5cm × 3.0cm thin uniform smear. Megakaryocyte categories: the original giant