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患男,6岁,因面色苍白1年经骨穿确诊为ALL-L_1,双目失明1周于1999年7月27日入院。患儿于1年前因面色苍白而行骨穿确诊为ALL-L_1,行VCP等方案化疗共7次,骨髓达基本缓解,化疗坚持半年后自行停止。1周前患儿出现双目视物不清,渐至双目失明。查体:精神尚好,浅表淋巴结无肿大,双眼无光感,双瞳孔等大等圆,对光反应消失,心肺腹未见异常。实验室检查:WBC6.8×10~9/L,N0.69,L0.27,RBC4.19×10~(12)/L,Hb109g/L,PLT255
Male, 6 years old, was pale for 1 year because of osteoporosis was diagnosed as ALL-L_1, blindness for 1 week in July 27, 1999 admitted to hospital. The patient was diagnosed ALL-L_1 because of the pale appearance of bone one year ago. The chemotherapy for VCP was performed for 7 times. The bone marrow was basically relieved. The chemotherapy was stopped for half a year. A week ago children with binocular vision is not clear, gradually blind to the eyes. Physical examination: the spirit is good, superficial lymph nodes without swelling, dull eyes, double pupil and other large circle, the light response disappeared, no abnormal heart and lung abdomen. Laboratory tests: WBC6.8 × 10 ~ 9 / L, N0.69, L0.27, RBC4.19 × 10-12 / L, Hb109g / L, PLT255