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一、急性粒细胞白血病误诊为急性菌痢范××,男,25岁.某建筑公司烧柏油工人.于1977年8月11日因烧柏油而致头痛、咽痛、发烧、腹痛、腹泻一周而入院.粪检:脓细胞++,红细胞+,不消化食物+.血象周围白细胞3500,中性19%,淋巴81%,臆断为“急性菌痢”收入本科.查体:T39℃,P147次/分,R40次/分,BP90/56mmHg.发育营养良好,皮肤粘膜未见出血点,浅淋巴结不肿大.扁桃体Ⅰ度大,有充血现象。心肺(-),肝脾未触及,肠鸣亢进,腹压痛(-).入院后自8月12日～19日先后静滴氯霉素5克.8月16日查血红素11克,白细胞7200,中性(?)%,淋巴43%,单核3%,酸性1%异形细胞占16%.
First, acute myeloid leukemia misdiagnosed as acute bacillary dysentery Van × ×, male, 25. A construction company burning asphalt workers in August 11, 1977 due to burning tar and headache, sore throat, fever, abdominal pain, diarrhea a week And admission. Fecal sepsis: ++, red blood cells +, indigestible food + blood around the leukocytes 3500, 19% neutral, lymph 81%, assumed to be “acute bacillary dysentery” income undergraduate. Physical examination: T39 ℃, P147 Times / min, R40 beats / min, BP90 / 56mmHg. Development of good nutrition, skin and mucous membrane no bleeding, superficial lymph nodes is not enlarged. Heart and lung (-), liver and spleen not touched, bowel hyperactivity, abdominal tenderness (-) .After admission from August 12 to 19, intravenous chloramphenicol 5 grams.August 16, check heme 11 grams, white blood cells 7200, Neutral (?)%, Lymph 43%, Mononuclear 3%, Acid 1% Isoforms 16%.