病例资料患者李某某,女,43岁,住院号285685。因头昏,皮肤紫斑,牙龈间断出血半年,白细胞增多1月于1987年2月入院。半年前患者自觉头昏,皮肤常出现紫斑,牙龈间断性出血。入院前1月右上腹疼痛,超声波检查示“胆结石”无发热及黄疸。1986年12月检查白细胞数为80.0×10~(?)/L,血小板数220×10~9/L,经抗生素治疗5天,腹痛消失,但白细胞持续增多,1987年1月来我院门诊检查:血红蛋白105g/L,白细胞166×10~9/L,中性杆状及分叶核占67%, Case data Lee Moumou, female, 43 years old, hospital number 285685. Due to dizziness, skin purpura, intermittent bleeding gums six months, leukocytosis in January 1987 was admitted to hospital in February 1987. Six months ago, patients consciously dizziness, purple skin often appear, intermittent bleeding gums. Right upper quadrant pain in January January admission, ultrasound showed “gallstones” without fever and jaundice. In 1986 December the number of white blood cells was 80.0 × 10 ~ (?) / L, the number of platelets 220 × 10 ~ 9 / L, treated with antibiotics for 5 days, abdominal pain disappeared, but the white blood cells continued to increase in January 1987 to our hospital clinic Check: hemoglobin 105g / L, white blood cells 166 × 10 ~ 9 / L, neutral rod-like and lobular accounted for 67%