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例1:女,22岁,因乏力、头昏、鼻衄、阴道流血半月就诊,体检:重度贫血貌,前胸后背可见散在出血点;胸骨柄叩痛(+),心肺未见异常.肝肋下1.5cm,脾未触及。化验:血红蛋白3g%,红细胞187万,白细胞2550,原粒+早幼粒细胞占57%,血小板2万。骨髓象:有核粒细胞增生极活跃,原粒细胞68%,早幼粒细胞11%,晚幼红2%,中性杆状核4%,中性分叶核10%,淋巴4%,单核10%,未见巨核细胞。诊断急性粒细胞型白血病。治疗经过:曾输血200ml,并给其它支持疗法,7天后死于脑出血。例2:男,20岁,为例1胞弟。因苍白乏力、
Case 1: Female, 22 years old, due to fatigue, dizziness, epistaxis, vaginal bleeding half-month treatment, physical examination: severe anemia appearance, scattered back bleeding in the chest; the sore throat (+), no abnormal heart and lung. Liver ribs 1.5cm, spleen not touched. Laboratory tests: hemoglobin 3g%, 1.87 million erythrocytes, 2550 leukocytes, pro-granulocytes + promyelocytic cells accounted for 57%, platelets 20,000. Bone marrow: nuclear granulocyte hyperplasia extremely active, the original granulocyte 68%, promyelocytic 11%, late red 2%, 4% of the neutral rod-like nucleus, 10% of the neutral leaf core, lymph 4% Mononuclear 10%, no megakaryocytes. Diagnosis of acute myelogenous leukemia. After treatment: blood transfusions 200ml, and give other supportive therapy, died of cerebral hemorrhage after 7 days. Example 2: Male, 20 years old, for example, a brother. Due to pale fatigue,