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我院自1986年至今诊断5例骨髓坏死,现报告如下。临床资料男3例,女2例,年龄19~54岁,从确诊到死亡19~56天。均呈全身多部位骨痛,持续性加重,伴发热、出血及不同程度的贫血,其中4例有不同程度的肝、脾、淋巴结肿大。5例外周血Hb均低于50g/L,最低者18g/L,白细胞2.8~2.9×10~9/L,血小板均低于50×10~9/L,网织红计数5~18%,分类可见早期粒细胞及有核红细胞。经抗生素、激素、输血治疗无效。5例均经2次以上骨髓穿刺及病理活检,骨髓液外观,1例呈脓样,2例呈果酱样,2例似血水样,骨髓活检均
Our hospital since 1986 diagnosed 5 cases of bone marrow necrosis, are as follows. Clinical data of 3 males and 2 females, aged 19 to 54 years old, 19 to 56 days from the diagnosis to death. All showed multiple parts of bone pain, persistent aggravation, with fever, hemorrhage and varying degrees of anemia, of which 4 cases of varying degrees of liver, spleen, lymph nodes. The peripheral Hb in 5 cases was lower than 50g / L, the lowest was 18g / L, the leukocytes was 2.8 ~ 2.9 × 10 ~ 9 / L, the platelets were lower than 50 × 10 ~ 9 / Classification can be seen early granulocytes and nucleated red blood cells. Antibiotics, hormones, blood transfusions are ineffective. All of the 5 cases were treated by more than 2 times of bone marrow aspirate and pathological biopsy, bone marrow fluid appearance, 1 case was pus-like, 2 cases were jam-like, 2 cases were like blood-like,