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急性白血病与骨髓转移的成神经细胞瘤的鉴别一般并不困难。骨髓片中成神经细胞常形成集团,而白血病原始细胞则单个存在并无环状排列。本文叙述1例患者在确诊过程中所遇到的困难。病例报告 5岁男患。因呕吐入院。查体。轻度脱水,体温40.2℃,腹胀。血红蛋白5.5克％,白细胞3,500/毫米~3,中性14％,杆状6％,淋巴78％,单核1％,嗜酸1％,每100个白细胞可见3个有核红细胞。
Acute leukemia and bone marrow metastasis of neuroblastoma identification is generally not difficult. Bone marrow cells often form a group of neurons, while leukemia cells are present in a single and no circular arrangement. This article describes one patient encountered in the diagnosis of the difficulties encountered. Case report 5-year-old male patient. Due to vomiting admitted to hospital. Physical examination. Mild dehydration, body temperature 40.2 ℃, bloating. 5.5% of hemoglobin, 3,500 / mm3 of leukocytes, 14% of neutral, 6% of stems, 78% of lymphatic vessels, 1% of mononuclear cells and 1% of eosinophils. There are 3 nucleated erythrocytes per 100 leukocytes.