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例一,男性,53岁。因头晕一月余,鼻衄、发热、吐浓痰一周,于84年7月17日入院。患者于一月前开始原因不明的乏力,面色苍白,当地医院诊断为“再生障碍性贫血”。用过丙酸睾丸酮、强地松药物治疗,病情不见缓解。近一周来鼻子反复出血,伴有发热及吐浓痰,故来本院治疗。体检:中度贫血面容,右上臂有散在出血斑点。实验室检查Hb5g,RBC168万,WBC2600,N32％,L68％,p14万,骨髓:增生减低,三系均少,诊断再障。84年8月1日骨髓活检,造血细胞/脂肪组织10/90,间隔中有核大、体积大的幼稚细胞,散在3—5成堆,
Example one, male, 53 years old. More than a month because of dizziness, epistaxis, fever, spit phlegm week, on July 17, 84 admission. Patients began unexplained fatigue and paleness before January and the local hospital diagnosed as “aplastic anemia.” Used testosterone propionate, prednisone drug treatment, the disease was not alleviated. Nearly a week to nose repeated bleeding, accompanied by fever and spit thick sputum, so to hospital treatment. Physical examination: moderate anemia, right upper arm with scattered bleeding spots. Laboratory examination Hb5g, RBC168 million, WBC2600, N32%, L68%, p14 million, bone marrow: reduced proliferation, three lines are less diagnosed aplasia. August 1, 1984 Bone marrow biopsy, hematopoietic cells / adipose tissue 10/90, the interval of nuclear large, bulky naive cells scattered in 3-5 piles,