论文部分内容阅读
例1 患者男性,37岁。因发烧、脾大2月就诊,曾在外院诊断为“白血病”。查体温38.4℃,脉博20次/分.心率84次/分,血压16/8kPa,贫血貌、消瘦体型,皮肤未见出血点及瘀斑,浅表淋巴结未肿大,胸骨无压痛,心肺未见异常,腹软,肝不大,脾肋下2cm,质软,移浊(一)。辅检:血色素58g/L,白细胞1.5×10~6/L。骨髓检查,骨髓增生低下,骨髓活检未见异常。肝脾B超,脾大,可见有二处钙化灶。胸片:右上肺Ⅲ型肺结核,行正规抗痨治疗38天后,体温恢复正常,血色素上升为80g/L,白细胞4.1×10~9/L,血小板90×10~9/L,随访3个月后,外周血象
Example 1 Patient Male, 37 years old. Due to fever, splenomegaly in February treatment, has been diagnosed in the outer hospital “leukemia.” Check body temperature 38.4 ℃, Pulse Bo 20 times / min. Heart rate 84 beats / min, blood pressure 16 / 8kPa, anemic appearance, weight loss body type, skin bleeding and ecchymosis, superficial lymph nodes are not enlarged, no sternal tenderness, No abnormalities, abdominal soft, small liver, spleen ribs 2cm, soft, moving turbid (a). Auxiliary tests: hemoglobin 58g / L, white blood cells 1.5 × 10 ~ 6 / L. Bone marrow examination, bone marrow hyperplasia, bone marrow biopsy showed no abnormalities. Liver and spleen B, splenomegaly, there are two calcification. Thorax: right upper lung type Ⅲ pulmonary tuberculosis, normal anti-tuberculosis treatment for 38 days, the body temperature returned to normal, hemoglobin increased to 80g / L, white blood cells 4.1 × 10 ~ 9 / L, platelets 90 × 10 ~ 9 / L, followed up for 3 months After the peripheral blood like