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急性白血病合并妊娠,国内仅有少数病例报道,我院于1980年6月至1990年7月间共收治3例,现报告如下。病例报告例1:31岁。因头昏乏力伴间歇性鼻衄1个月于1980年6月14日入院。孕7个月。检查:贫血貌,皮肤粘膜无出血点。两侧锁骨上及腋下均可触及数枚黄豆大小的淋巴结。胸骨无压痛。心肺阴性,肝肋下2厘米,脾未及。宫底脐上2指,胎位不清,胎心音消失。白细胞计数25×10~9/升,中性0.94,淋巴0.34,原淋+幼淋0.62。血红蛋白68克/升,血小板80×10~9/升。骨髓象:有核细胞增生极度活跃,原淋+幼淋0.94,过氧化物酶(POX)染色(-),α-醋酸萘酯酶(α-NAE)染色(-)。诊断为急性淋巴细胞
Acute leukemia with pregnancy, only a few cases of domestic reports, our hospital in June 1980 to July 1990 were treated 3 cases, are as follows. Case report 1:31 years old. Due to dizziness with intermittent epistaxis 1 month in June 14, 1980 admission. 7 months pregnant. Check: anemia appearance, skin and mucous membrane without bleeding point. On both sides of the supraclavicular and armpit can reach several pieces of soybean size lymph nodes. Sternal no tenderness. Cardiopulmonary negative, liver ribs 2 cm, spleen and time. Palace umbilical 2 means, fetal position is unclear, fetal heart sound disappeared. WBC count 25 × 10 ~ 9 / l, neutral 0.94, lymph 0.34, the original leaching + 0.62. Hemoglobin 68 grams / liter, platelets 80 × 10 ~ 9 / liter. Bone marrow imaging showed that the nucleated cells were hyperproliferatively active, the protracted lean lymphocytes were 0.94, POX staining and α-NAE staining. Diagnosis of acute lymphocytes