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骨髓坏死BMN 自1924年Graham 等在镰状细胞贫血病人尸检中首先发现后(GranotH,et al.Acta Haernot 1980;44:232),近年来随着骨髓穿刺和活检的广泛开展,对本病的诊断有了进一步的提高。1991年我院经骨髓活检确诊3例,现报告如下。例1 男,22岁。全身骨痛、发热、鼻衄6天,于1991年1月15日入院。患者11个月前因上消化道大出血行胃大部分切除术,术后诊断为出血性胃炎,惜未作病理活检。出院后仍感头昏,乏力,上腹部饱胀。我院查体:T38.4℃,P100次/分,R22次/分,BP13/9kPa。神志清楚,消瘦,重度贫血貌。左锁骨上可触及数颗黄豆大小淋巴结,质中,较固定,无压痛。心前区可闻及Ⅱ级收缩期杂音,肺(-),左腹直肌旁见
Bone Marrow Necrosis BMN was first discovered by Graham et al in an autopsy of patients with sickle cell disease in 1924 (Granot H, et al. Acta Haernot 1980; 44: 232). In recent years, with extensive bone marrow aspiration and biopsy, Diagnosis has been further improved. 1991 in our hospital bone marrow biopsy diagnosed in 3 cases, are as follows. Example 1 male, 22 years old. Body pain, fever, epistaxis 6 days, January 15, 1991 admission. Patients 11 months ago due to upper gastrointestinal bleeding most of the stomach resection, postoperative diagnosis of hemorrhagic gastritis, but did not make pathological biopsy. Discharged still fainting, fatigue, abdominal fullness. Our hospital examination: T38.4 ℃, P100 beats / min, R22 beats / min, BP13 / 9kPa. Conscious, weight loss, severe anemia appearance. Left clavicle can reach several pieces of soybean size lymph nodes, quality, more fixed, no tenderness. Precordial area can be heard and Ⅱ systolic murmur, lung (-), left rectus abscess see