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例1:男,35岁,干部,汉族,北京人。1983年10月18日入院。80年作痔疮手术时发现白细胞增多,伴疲乏、头晕、低烧。经本院和首都医院骨髓检查诊断“慢性粒细胞性白血病”。几年来坚持在我院随诊,用马利兰2~4mg/日治疗,病情稳定。83年3月曾便血、消瘦、纳差,未注意,近日加重住院。入院时检查:T36.4℃,P、96次/分,R、24次/分,Bp:150/110mmHg。脸色苍白,眼皮轻度浮肿。心肺(一)。肝肋下2cm,脾肋下3cm,质Ⅰ°。上腹部似有包块,边缘不清。阴囊及双下肢浮肿。实验室检查:Hb7—4.5,RBC、203—205,WBG、18,000—38,700,中幼:4%,晚幼:5%,干核:6%,分叶:79%,淋巴:5%,网织:11.3。骨髓血细胞检查报告:慢性粒细胞性白血病。血沉:
Example 1: Male, 35 years old, cadre, Han nationality, Beijing native. October 18, 1983 admitted to hospital. 80 years hemorrhoids surgery found that leukocytosis, with fatigue, dizziness, fever. The hospital and the Capital Hospital bone marrow examination diagnosis of “chronic myelogenous leukemia.” In recent years, adhere to our hospital, with Maryland 2 ~ 4mg / day treatment, stable condition. March 83 had blood in the stool, weight loss, anorexia, did not pay attention, recently aggravated hospitalization. Admission examination: T36.4 ℃, P, 96 beats / min, R, 24 beats / min, Bp: 150 / 110mmHg. Pale, eyelid mild edema. Heart and lung (a). Liver ribs 2cm, Spleen ribs 3cm, quality Ⅰ °. Like the upper abdomen mass, the edge is unclear. Scrotum and lower extremity edema. Laboratory tests: Hb7-4.5, RBC, 203-205, WBG, 18,000-38,700, 4% for young children, 5% for young children, 6% for dried nuclei, 79% for leaflets, 5% for lymph, Weave: 11.3. Bone marrow blood cell examination report: Chronic myelogenous leukemia. ESR: