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病历摘要张××,男性,21岁,战士。因头晕、乏力5天于85年4月6日入292医院。当时骨髓示增生活跃,粒系占54％,其中异常多颗粒早幼粒占47％,红系占29％、原、早红12％,为有核红的41％,部份有核红呈类巨幼变,有核红畸变率11％,巨核细胞少见。诊为急性红白血病。经HOAP(三尖杉酯硷、长春新硷、阿糖胞苷、强地松)方案治疗10疗程、85年10月14日骨髓完全缓解。85年10月24日转我院。入院时检查:浅淋巴结不大,口腔粘膜见一绿豆大溃疡,胸骨无压痛,心肺未见异常,肝脾未触及。血红蛋白154g/L,
Medical record Zhang × ×, male, 21 years old, warrior. Due to dizziness, fatigue 5 days in April 6, 85 into 292 hospitals. At that time, bone marrow showed hyperplasia, accounting for 54%, accounting for 47% of the abnormal multiparticulate promyelocytic, erythroid accounted for 29%, the original, early red 12%, with a nuclear red 41%, some were red Giant oligodendroglioma, 11% of the nuclear red color distortion, rare megakaryocytes. Diagnosis of acute erythroleukemia. The HOAP (Harrington base, vincristine, cytarabine, prednisone) program for 10 courses of treatment, October 14, 85 bone marrow complete remission. October 24, 85 transferred to our hospital. Admission check: shallow lymph nodes, oral mucosa see a mung bean ulcer, sternal no tenderness, no abnormal heart and lung, liver and spleen not touched. Hemoglobin 154g / L,