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恶组临床表现错综复杂,缺乏特异性,误诊率相当高.本文对恶组23例进行临床分析,除3例在院外确诊外,其余20例入院初步诊断为发热待查,同时考虑到恶组的可能者10例,另10例误诊为其他疾病.骨髓涂片找到异形组织细胞是诊断恶组的重要依据.骨髓内异常组织细胞数目的多少与病情严重程度不成比例;病程晚期骨髓涂片恶组细胞阳性高于早期;胸骨穿刺阳性率高于髂骨;不同部位取材,结果不一样.
The clinical manifestations of the evil group are complex, lack of specificity and the rate of misdiagnosis is very high.In this paper, 23 cases of malignant group were analyzed clinically, except for 3 cases diagnosed outside the hospital, the other 20 cases admitted to the hospital for initial diagnosis of fever pending investigation, taking into account the evil group 10 cases were possible, the other 10 cases misdiagnosed as other diseases .Bone marrow smear found abnormal tissue cells is an important basis for the diagnosis of evil group .Bone marrow abnormal tissue cells and the number of the severity of the disproportionate; late course of bone marrow smear evil group The positive rate of cells was higher than that of early stage. The positive rate of sternum puncture was higher than that of ilium. The results of different sites were different.