急性粒细胞性白血病伴多浆膜腔积液者较少,而同时伴有原粒细胞瘤者更为少见,我们曾遇一例,在砚察过程中曾误诊为结核,类白血病样反应及淋巴瘤等,因其较为特殊,故予以报导。病例介绍. 患者姬××,男性、24岁、工人,住院号100734,于1976年7月12日以发热,轻咳、左胸痛,气短一月主诉入院。一月前无原因发热,不畏寒,继则轻咳,左侧胸痛,病情逐渐增重,嗣后更有气短,不能平卧,半月前在当地医院检查发现“左侧胸腔积液”而收住院。给 Acute myeloid leukemia with pleural effusion were less, while accompanied by melanocytoma were more rare, we have a case of experience, have been misdiagnosed in the inspection process as tuberculosis, leukemoid-like reaction and lymph Tumor, etc., because of its more special, it is reported. Case description. Ji × ×, male, 24 years old, worker, hospital number 100734, on July 12, 1976 with fever, light cough, left chest pain, shortness of breath in January January was admitted to hospital. A month ago, no reason fever, no chills, followed by mild cough, left chest pain, the condition gradually increased weight, followed by more shortness of breath, can not be supine, a half months ago in the local hospital found “left pleural effusion” and received Hospitalized. give