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作者报告1例白血病患者中央静脉插管后发生插管部位皮肤白血病浸润,据称这种并发症未见报道.患者女性,58岁,因疲乏不适,肌肉酸痛3周入院,入院体查T100°F,四肢见数处紫癜,右腓肠肌触痛,但无红斑或肿胀.无肝脾及淋巴结肿大.实验室检查:白细胞78300/μl,原始单核细胞86%,血细胞比容35%,血小板46000/μl,PT28秒.骨髓检查确立急性单核细胞白血病诊断.入院次日开始羟脲治疗,
The authors report that 1 case of leukemia patients with central venous intubation after the central venous catheter skin leukemia infiltration, allegedly this complication has not been reported.Female female, 58 years old, due to fatigue, muscle ache 3 weeks hospitalization, hospital investigation T100 ° F, limbs at several purpura, right gastrocnemius tenderness, but no erythema or swelling. No liver and spleen and lymph nodes. Laboratory tests: white blood cells 78300 / l, the original mononuclear cells 86%, hematocrit 35%, platelets 46000 / μl, PT28 seconds .Bone marrow examination established acute monocytic leukemia diagnosis.Urine treatment began the next day of admission,