论文部分内容阅读
患者女,5岁,住院号243176,1976年8月起病,因不规则发热、周身关节疼痛经抗风湿治疗约半年无效,于1977年2月在某院检查骨髓,诊断为“恶性网状细胞病”,用环磷酰胺及泼尼松治疗,症状缓解。后由于食欲不振,1977年4月来我院门诊检查,当时体检一般情况尚可,满月脸,皮肤无出血点,浅表淋巴结不肿大,心肺无异常,腹软,肝肋下锁骨中线上2厘米,脾肋下3厘米,周围血象及骨髓象检查发现原血细胞各占78％及96.5％,初步诊断为“原血细胞
Female patient, 5 years old, hospitalization number 243176, 1976 August onset, due to irregular fever, whole body joint pain after anti-rheumatic treatment of about six months invalid, in February 1977 in a hospital for examination of bone marrow, diagnosed as “reticular Cytopathic ”, with cyclophosphamide and prednisone treatment, symptoms relieved. Later, due to loss of appetite, April 1977 to our hospital clinics, physical examination was acceptable at the time, the full moon face, no bleeding skin, superficial lymph nodes are not enlarged, no abnormal heart and lung, abdominal soft, subclavian subclavian midline 2 cm, 3 cm under the splenic ribs, peripheral blood and bone marrow examination revealed that the original blood cells accounted for 78% and 96.5%, the initial diagnosis of "primitive blood cells