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患者女,19岁,未婚。因头晕、乏力、鼻衄,齿衄及骨痛20余天于1981年5月7日入院。入院时查体:面色苍白,皮肤粘膜未见出血点,双颌下淋巴结肿大如核桃,质中等,活动受限,上下齿龈均有浅表溃疡。胸骨叩痛(++),双下肢胫骨叩痛(+++)。心尖区可闻Ⅱ级收缩期杂音,肺呼吸音正常,腹部平软,肝脾未触及。血压100/60mmHg,脉搏104次/分。实验室检查:红细胞165万/mm~3,血红蛋白4.5g%,白细胞12,600/mm~3,中性杆状核4%,中性分叶核10%,淋巴细胞34%,单核细胞2%,原始粒20%,早幼粒16%,
Female patient, 19 years old, unmarried. Due to dizziness, fatigue, epistaxis, teeth and pain more than 20 days in May 7, 1981 admission. Admission examination: pale, skin and mucous membrane no bleeding point, double submandibular lymph nodes such as walnuts, medium quality, limited mobility, upper and lower gums have superficial ulcers. Sternal percussion pain (++), lower extremity tibia percussion (+++). Apex area can be heard Ⅱ systolic murmur, pulmonary breath sounds normal, flat and soft abdomen, liver and spleen not touched. Blood pressure 100 / 60mmHg, pulse 104 beats / min. Laboratory tests: erythrocytes 1.65 million / mm ~ 3, hemoglobin 4.5g%, leukocytes 12,600 / mm ~ 3, 4% of neutral rod-like nucleus, neutral lobular 10%, lymphocytes 34%, monocytes 2% , 20% of the original grain, promyelocytic 16%