尸检发现急性白血病可引起骨髓坏死,但生前获得诊断的不多,故尚未引起临床工作者重视,有时还能被误认为是“取材不满意”而弃之。然而及时发现骨髓坏死,对病情及予后的判断颇有意义。现将我院2例报告如下。病例摘要例1:男26岁工人因全身骨骼疼痛,发热、头晕、乏力,间断毕衄皮肤紫斑廿天,近3日腹痛难忍,卧床不起。于1984年6月30日入院。体格检查:重病容,贫血外貌,T:39°P:96次BP100/70,周身皮肤散在瘀点,胸腹部可见大片瘀斑,浅表淋巴结不肿大,胸骨压痛(+),心肺无异常体征腹平软,无明显压痛及肌紧张、肝脾未及。血相化验:Hb10g％,WBC1300/mm~3、Pt3.8万/mm~3,原十早幼粒细胞89.5％、St3％、Sg3％、E1.5％、L3％,髂后右侧骨髓穿刺抽出黄棕色粘稠物、涂片在镜下观察 Autopsy found that acute leukemia can cause bone marrow necrosis, but diagnosed less during his lifetime, it has not caused clinical workers attention, and sometimes mistaken for “taken not satisfied” and abandoned. However, timely detection of bone marrow necrosis, the condition and prognosis of considerable significance. Now my hospital 2 cases reported as follows. Case summary 1: male 26-year-old worker due to body bones pain, fever, dizziness, fatigue, intermittent skin 肤 cut purple skin twenty days, nearly 3 days abdominal pain, bedridden. In June 30, 1984 admission. Physical examination: severe disease, anemia appearance, T: 39 ° P: 96 times BP100 / 70, skin scattered around the petechia, visible large ecchymosis in the chest and abdomen, superficial lymph nodes does not enlarge, sternal tenderness (+), no abnormal heart and lung Signs abdominal soft, no significant tenderness and muscle tension, liver and spleen not yet. Blood test: Hb10g%, WBC1300 / mm ~ 3, Pt38000 / mm ~ 3, the original ten promyelocytic cells 89.5%, St3%, Sg3%, E1.5%, L3%, posterior iliac bone marrow puncture Pull out the yellow-brown viscous material, smear in the microscope observation