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急性白血病合并骨髓坏死较罕见。国内报道不多,现将我院收治的急性单核细胞白血病治疗中合并骨髓坏死,继续化疗后,获得部分缓解一例报告如下: 病历摘要某女,36岁。住院号276878。因头晕、乏力,活动后心悸1个月入院。查体:T37.2,轻度贫血貌,无出血点及瘀斑,左锁骨上窝可触及1.0cm×1.0cm肿大淋巴结。胸骨叩击痛,心肺未见异常。肝肋下触及边,脾未触及。血象:WEC49.0×10~9。可见大量幼稚细胞。RBC2.2×10(12),Hb65,BPC60×10(9)。骨髓:有核细胞增生极度活跃,粒、红二系受抑,淋巴
Acute leukemia with bone marrow necrosis is rare. Domestic reports, now admitted to our hospital acute monocytic leukemia in the treatment of bone marrow necrosis, continued chemotherapy, to obtain partial remission reported as follows: a summary of the medical history of a woman, 36 years old. Hospital number 276878. Due to dizziness, fatigue, palpitations 1 month after the event admission. Examination: T37.2, mild anemia appearance, no bleeding spots and ecchymosis, left supraclavicular fossa can reach 1.0cm × 1.0cm swollen lymph nodes. Sternal percussion pain, no abnormal heart and lung. Hepatic ribs touch the side, the spleen did not touch. Blood: WEC49.0 × 10 ~ 9. A large number of naive cells can be seen. RBC 2.2 × 10 (12), Hb65, BPC 60 × 10 (9). Bone marrow: nucleated cell hyperplasia is extremely active, granule, red two lines suppressed, lymphatic