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患者男性,38岁,因畏寒,发热半个月伴牙龈出血于1991年9月23日入院.检查:T37.6℃,BP16/10KPa.贫血貌,静脉穿刺部位大片瘀斑,双腋下及腹股沟可扪及绿豆至黄豆大淋巴结.牙龈可见血迹.肝肋下1.5cm,轻度触痛,脾肋下0.5cm.实验室检查:血Hb63g/L,WBC0.4×10~9/L,N0.1,L0.9,BPC74×10~9/L,原始及幼稚巨核细胞(原幼巨核)占68％.骨髓象:骨髓增生活跃,粒系减少,其形态大致正常,巨核细胞明显增多,以原幼巨核增多为主,占84.8％.
Male, 38 years old, due to chills, fever half a month with gum bleeding was admitted on September 23, 1991. Check: T37.6 ℃, BP16 / 10KPa. Anemia appearance, venous puncture site ecchymosis, double axillary And the inguinal palpable and mung bean to soybean large lymph nodes .Gas visible blood .Liver ribs 1.5cm, mild tenderness, spleen ribs 0.5cm. Laboratory tests: blood Hb63g / L, WBC 0.4 × 10 ~ 9 / L , N0.1, L0.9, BPC74 × 10 ~ 9 / L, and primitive and immature megakaryocytes (the original megakaryocyte) accounted for 68% .Bone marrow: bone marrow hyperplasia, decreased myelomonocytic, its morphology is generally normal, megakaryocytes significantly Increased, mainly to the growth of young megakaryons, accounting for 84.8%.