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唐××,女,60岁,工人,因左上腹持续隐痛,外周血白细胞38000,中性粒93%,嗜酸粒2%,淋巴5%,血小板在正常范围。X 线胸片:左上肺3×3cm 球形阴影,密度淡,边缘光整,疑为左上肺炎,肺癌待排。拟诊类白血病反应入院。体查:体温37.5℃,脉搏84次,呼吸20次,血压180/120,两肺(-),心界向左扩大,A_2亢进,胸骨下端有压痛,肝肋下2cm,脾肋下4cm,血红蛋白10.5g,血小板20万,白细胞4200,分类同上。骨髓检查:增生明显活跃,粒红比例6:1,早幼粒1%,中幼粒10%,晚幼粒12%,杆状核20%,分叶核37.5%,嗜酸晚幼粒1.5%,嗜酸
Tang × ×, female, 60 years old, workers, due to persistent pain in the left upper quadrant, peripheral blood leukocytes 38,000, 93% of neutrophils, eosinophilic granuloma 2%, lymphatic 5%, platelets in the normal range. X-ray: upper left lung 3 × 3cm spherical shadow, light density, edge finishing, suspected left upper lung pneumonia, lung cancer to be discharged. The proposed diagnosis of leukemia response to admission. Physical examination: body temperature 37.5 ℃, pulse 84 times, breathing 20 times, blood pressure 180/120, both lungs (-), heart left to expand, A_2 hyperthyroidism, sternum tenderness, liver ribs 2cm, spleen ribs 4cm, Hemoglobin 10.5g, platelets 200,000, white blood cells 4200, classified as above. Bone marrow examination: hyperplasia significantly active, the proportion of 6: 1 magenta, promyelocytic 1%, juvenile 10%, late juvenile 12%, rod 20%, leaf nucleus 37.5%, 1.5 %, Acidophilus