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男,32岁。月余前缓起头昏、乏力,半月来觉四肢肌肉胀痛、低热、盗汗、腹胀、食欲不振。检查:体温37.8℃,脉搏86,血压122/74。贫血貌,皮肤、巩膜无黄疸及出血点。浅表淋巴结不肿大。胸骨有压痛,心肺(一)。肝肋下1.5cm,脾肋下3cm。血红蛋白57g/L,白细胞6.6×10~9/L,分类:原粒4％,早幼粒2％,酸性粒43％(其中中幼粒34％,晚幼粒5％,杆状2％,分叶2％)。中性杆状8％,中性分叶6％,淋巴36％,单核1％。数100个白细胞发现有核红细胞5个。血小板55×10~9/L。骨髓
Male, 32 years old. Months before I light up, fatigue, half a month to feel limb muscle pain, fever, night sweats, bloating, loss of appetite. Check: body temperature 37.8 ℃, pulse 86, blood pressure 122/74. Anemia looks, skin, sclera jaundice and bleeding points. Superficial lymph nodes are not enlarged. Sternal tenderness, heart and lung (a). Liver ribs 1.5cm, Spleen ribs 3cm. Hemoglobin 57g / L, white blood cells 6.6 × 10 ~ 9 / L, classification: 4% of primordia, promyelocytic 2%, 43% of acidic granules (including 34% 2% leaf). 8% neutral rod, 6% neutral lobe, lymph 36%, mononuclear 1%. Number of 100 white blood cells found that there are 5 nucleated red blood cells. Platelets 55 × 10 ~ 9 / L. marrow