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伴三系骨髓增生异常的初发急性髓性白血病是一种新认识的具有临床特色和难治性的ＡＭＬ亚型，我们回顾性地观察了１３１例急性白血病的骨髓涂片，从９７例取材满意的涂片（其中ＡＭＬ６３例）中发现１１例，占ＡＭＬ的１７．５％，值得临床工作中注意。
Acute myeloid leukemia with tertiary myelodysplastic syndrome is a newly recognized subtype of AML with clinical features and refractoryness. We retrospectively reviewed 131 cases of acute leukemia with bone marrow smear drawn from 97 cases Satisfactory smears (including 63 cases of AML) found in 11 cases, accounting for 17.5% of AML, it is worth to pay attention to clinical work.