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患者,女,17岁。1980年8月,开始发热,初低烧,伴乏力、胃纳差、头昏等。近日热重,时有寒战、发热后,出大汗。今晨鼻衄,出血量约50ml。白细胞12万,中性80％,淋巴18％,嗜酸性2％。粒细胞明显左移,少数有中毒颗粒,诊为急性粒细胞白血病入院。体检:T39℃,BP120/70mmHg。面色苍黄,皮肤未见黄染、出血点及瘀斑,颈部,腹股沟淋巴结不大。胸骨压痛,心尖区闻及Ⅱ级吹风样收缩期杂音,
Patient, female, 17 years old. August 1980, began to fever, the first low-grade fever, with fatigue, poor appetite, dizziness and so on. Recently heavy, when chills, fever, a sweat. Epistaxis this morning, the amount of bleeding about 50ml. 120,000 leukocytes, 80% neutral, lymphatic 18%, eosinophilic 2%. Granulocytes significantly left, a small number of poisoning particles, diagnosed as acute myeloid leukemia admitted. Physical examination: T39 ℃, BP120 / 70mmHg. Pale yellow, no yellow skin dye, bleeding and ecchymosis, neck, inguinal lymph nodes is not large. Sternal tenderness, apical area smell and Ⅱ grade hair-like systolic murmur,