论文部分内容阅读
戴×,女性,3岁,陕西人,住院号114695。于1980年7月27日以全身淋巴结肿大,不规则发热,面黄消瘦三月余为主诉入院。患儿三月余前患肺炎及轻度贫血,经抗菌素及抗贫血治疗痊愈。治疗中曾输腮腺炎恢复期血50毫升,输血后3天出院。相隔9天后又不规则发热,同时伴有腮腺、颌下颈部淋巴结进行性肿大。患儿开始面色发黄、乏力、不爱活动、纳差、消瘦、且皮肤有少许出血点。于两个半月前查白细胞达12万,且有幼稚细胞(数量不详)。经给强的松治疗,淋巴结明显缩小(未完全消退),体温正常(偶有低热),但血象未能继续改善,而加用环磷酰胺及巯基嘌呤治疗。几天后白细胞下降明显,一般情况仍不能改善而转入我
Dai ×, female, 3 years old, Shaanxi, hospital number 114695. In July 27, 1980 to the generalized lymphadenopathy, irregular fever, face yellow weight loss more than three months for the main admission. Children with pneumonia and mild anemia more than three months ago, cured by antibiotics and anti-anemia. Hypothalamus was lost in the treatment of convalescent blood 50 ml, 3 days after transfusion was discharged. 9 days apart after irregular fever, accompanied by the parotid gland, submandibular neck lymph nodes progressive enlargement. Children began to look yellow, fatigue, do not love activities, anorexia, weight loss, and the skin a little bleeding. Two and a half months ago, white blood cells were found up to 120,000, and naive cells (an unknown number). After the treatment of prednisone, significantly reduced lymph node (not completely subsided), normal body temperature (occasional fever), but the blood can not continue to improve, but with cyclophosphamide and mercaptopurine treatment. A few days after the white blood cells decreased significantly, the general situation still can not be improved and transferred to me