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例1 男,68岁.因诉苍白、疲乏3年余,发热10天于1995年9月13日入院.3年前因苍白疲乏,外周全血细胞减少,检查骨髓像示:有核细胞增生明显活跃,原粒0.05,早幼粒0.03,粒系核浆发育不平衡,可见假Pelger-Huět畸形,幼红细胞明显巨幼样变,巨核细胞增多,易见淋巴样小巨核细胞,铁染色环形铁粒幼红细胞43%,诊断为NIDS-RAS型,予大剂量VitB_6、维甲酸、康力龙等治疗,症状有所好转.10天前贫血突然加重,出现高热、咳嗽.查体:重度贫血貌,皮肤散在出血点、浅表淋巴结不
Example 1 Male, 68 years old, complained of being pale and tired for more than 3 years, and fever was admitted to hospital on September 13, 1995 for 10 days. She was tired due to paleness and peripheral blood cells decreased 3 years ago. The examination of bone marrow showed that the nucleated cells were obviously proliferated. Active, raw grain 0.05, early grain 0.03, unbalanced granular plasmonic development, visible Pegger-Huět malformation, juvenile erythroblasts, giant megakaryocytes, easy to see small lymphoid megakaryocytes, iron stained ring iron Granule erythroblasts 43%, diagnosed as NIDS-RAS type, to large doses of VitB_6, retinoic acid, stanozolol and other treatment, the symptoms have improved. 10 days ago anemia suddenly increased, there is high fever, cough. Examination: severe anemia appearance, skin Scattered at bleeding points, superficial lymph nodes are not