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1 临床资料例1 男,53岁.确诊慢性粒细胞白血病2年,因腹痛、呕血、黑便1周入院.2年前确诊后曾用马利兰维持治疗,病情稳定.入院前1月无明显诱因出现上腹痛,频繁呕吐,稀水样便,全身皮肤无痛性疱疹,部分溃烂,有淡黄色渗出物,因黑便1周急诊人院.查体:体温36℃,全身皮肤散在黄豆、绿豆大小疱疹,u0004破溃疮疹部分有淡黄色渗出物,部分结痂,胸骨中下段压痛,心肺无异常,肝脾不肿大.实验室检查:Hb68g×10~9/L,plt80.8×10~9/L,WBC 24.1×10~9/L.嗜碱性粒细胞:早
1 Clinical data Example 1 Male, 53 years old. Two years after diagnosis of chronic myeloid leukemia, abdominal pain, vomiting, and melena were admitted to the hospital for 1 week. After 2 years of diagnosis, they had been treated with Marillan, and the condition was stable. There was no obvious cause in the month before admission. Upper abdominal pain, frequent vomiting, dilute watery stools, painless herpes of the whole body skin, partial ulceration, pale yellow exudates, 1 week of urinary exacerbation in hospital. Examination: body temperature 36 °C, body skin scattered in soybeans, Mung bean size herpes, u0004 ulcers, some yellowish exudate, some scab, middle and lower thoracic tenderness, no abnormal heart and lung, liver and spleen is not swollen. Laboratory tests: Hb68g × 10~9/L, plt80 .8×10~9/L, WBC 24.1×10~9/L. Basophils: Early