我院儿科曾收治 1例以高热多发性肿块为首发症状的患儿 ,经骨髓穿刺确诊为急性粒单细胞白血病 (M4) ,现报告如下 :患儿 ,男 ,1 2岁 ,白族。病案号 :0 5 0 6 6。患儿入院前一月余 ,无明显诱因出现多发包块 ,伴高热 ,在当地卫生院经抗感染治疗未见好转 ,于 1 999年 8月 1 9日到我 Pediatrics of our hospital had treated a patient with high fever and multiple masses as the first symptom. He was diagnosed with acute myelomonocytic leukemia (M4) by bone marrow aspiration. The report is as follows: Children, male, 12 years old, Bai ethnicity. Case number: 0 5 0 6 6. More than one month before admission, there was no obvious incentive for multiple masses, with high fever, and no improvement was seen in the local hospitals after anti-infective treatment. I arrived on August 19, 1999.