无反应性结核引起白血病样反应比较罕见,临床常误诊为白血病。本文通过1例尸检,发现由无反应性结核引起的白血病样反应,临床误诊为粒细胞性白血病,现报告如下。病历摘要:男,21岁。因夜间发热、盗汗、咳嗽、痰中带血、逐渐消瘦1年而入院。查体:T38～39℃,全身淋巴结肿大。肝剑下7cm,脾肋缘下10cm。查血:Hb3.5g%,RBC1.5×10~(12)/L,WBC3.35×10~9/L。白细胞分类:原始粒22%、早幼粒2%、晚 Anemia caused by non-reactive leukemia-like reaction is relatively rare, clinically misdiagnosed as leukemia. This article through an autopsy, found by non-reactive tuberculosis caused by leukemia-like reactions, clinically misdiagnosed as myelogenous leukemia, are as follows. Medical record summary: Male, 21 years old. Due to night fever, night sweats, cough, bloody sputum, gradually wasting 1 year and admitted to hospital. Physical examination: T38 ~ 39 ℃, systemic lymphadenopathy. Under the liver sword 7cm, spleen under the edge of 10cm. Check the blood: Hb3.5g%, RBC1.5 × 10 ~ (12) / L, WBC3.35 × 10 ~ 9 / L. White blood cell classification: 22% of the original grain, promyelocytic 2%, late