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1 临床资料 患者,男性,27岁,于1989年6月29日因牙齿龈出血,低热,乏力,在当地医院查血象发现血红蛋白75g/L,白细胞106×10~9/L,血片分类原始淋巴细胞0.82,血小板82×10~9/L。骨髓分类原始淋巴细胞0.72,诊断为急性淋巴细胞性白血病。用VP方案治疗1个月,白细胞降至50×10~9/L。复查骨髓象,原始细胞仍占0.62。随后,继续应用VCAP,VAP方案治疗,无效。于1989年12月28日入我院。体检:体温37℃,脉搏92次/min,血压17/8kPa。神清,柯兴氏面容,皮肤巩膜无黄染,浅表淋巴结不肿
1 Clinical data Patients, male, 27 years old, on June 29, 1989 due to gum bleeding, fever, fatigue, check the blood of the local hospital hemoglobin 75g / L, white blood cells 106 × 10 ~ 9 / L, blood film classification of the original Lymphocytes 0.82, platelets 82 × 10 ~ 9 / L. Bone marrow classification of primitive lymphocytes 0.72, the diagnosis of acute lymphoblastic leukemia. Treatment with VP regimen for 1 month, leukopenia 50 × 10 ~ 9 / L. Review bone marrow, primitive cells still account for 0.62. Subsequently, continue to use VCAP, VAP program treatment, invalid. On December 28, 1989 into our hospital. Physical examination: body temperature 37 ℃, pulse 92 beats / min, blood pressure 17 / 8kPa. God clear, Cushing’s face, skin sclera no yellow dye, superficial lymph nodes are not swollen