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患者,女,22岁。1月前头昏、发热、月经量多;近来因牙龈肿胀出血,贫血入院。查体:T37℃,P80次/分,R20次/分,BP14/8kPa,贫血貌,心肺(-),肝脾未扪及。化验:Hb52g/L,RBCl.61×10~(12)/L,plt4.5×10~9/L,WBC9.8×10~9/L,N 0.56,L 0.31,分类不明细胞0.13,BT2分30秒,CT4分,周围血发现中、晚幼红细胞。骨髓涂片:有核细胞增生明显活跃,粒红=0.17∶1,粒系,淋巴系严重受抑,红系增生极度活跃,占56.5％,以中、晚幼红为主,原红、早幼红比例
Patient, female, 22 years old. 1 month ago, dizziness, fever, excessive menstrual flow; recently due to swollen bleeding gums, anemia admitted to hospital. Physical examination: T37 ℃, P80 beats / min, R20 beats / min, BP14 / 8kPa, anemic appearance, cardiopulmonary (-), liver and spleen not palpable. Assay: Hb52g / L, RBCl.61 × 10-12 / L, plt4.5 × 10-9 / L, WBC9.8 × 10-9 / L, N 0.56, L 0.31, unknown cell classification 0.13, BT2 Sub-30 seconds, CT4 points, found in the peripheral blood, late red blood cells. Bone marrow smear: obvious proliferation of nucleated cells, granule red = 0.17: 1, granulocyte, lymphatic system was severely inhibited, erythroid hyperplasia extremely active, accounting for 56.5%, mainly in the late red, the original red, early Young red ratio