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1 病例介绍 患儿,女,3岁,于1987年12月28日因左颈淋巴结肿大住院。查体:左颈可触及0.8～2.5cm淋巴结6～7枚,质硬活动度小,右锁骨上可及0.5cm淋巴结1枚,左腋下可及1～2.5cm淋巴结5～6枚,有融合趋势。淋巴结活检,病理诊断为T细胞淋巴瘤,Ⅱ期。给CHOP方案化疗两次,疗效佳。左颈,左腋淋巴结几乎消失,右颈淋巴结消退,继而转到放疗科~（60）Co进行治疗,治疗量为45GY/29次/6w,于1988年7月7日和8月26日入院进行CHOP方案第3、第4次化疗。1989年7月18日因左颈淋巴结肿大再住院,血象正常,进行CHOP方案第5次化疗。1989年8月28日因贫血发烧再就诊。查血象:Hb64g/L,WBC18.2×10~9/L。分类:原粒0.39,早幼粒0.03。骨髓象:增生明显活跃,G/E=12∶1,原粒0.64,早幼粒
1 case description Children, female, 3 years old, on December 28, 1987 due to left cervical lymph node enlargement hospitalization. Physical examination: left neck can reach 0.8 ~ 2.5cm lymph nodes 6 to 7, hard activity, the right clavicle and 0.5cm lymph nodes can be 1, the left axillary lymph nodes can reach 1 ~ 2.5cm, there are Fusion trend. Lymph node biopsy, pathological diagnosis of T-cell lymphoma, phase Ⅱ. Give CHOP regimen twice, good effect. Left and left axillary lymph nodes almost disappeared, right cervical lymph nodes subsided, and then go to radiotherapy ~ (60) Co for treatment, the treatment of 45GY / 29 times / 6w, on July 7, 1988 and August 26 admission CHOP program for the third and fourth chemotherapy. July 18, 1989 due to left cervical lymph node enlargement and hospitalization, normal blood, CHOP chemotherapy program for the first 5. August 28, 1989 re-treatment of anemia due to fever. Check the blood: Hb64g / L, WBC18.2 × 10 ~ 9 / L. Category: The original grain 0.39, promyelotic 0.03. Bone marrow: hyperplasia significantly active, G / E = 12: 1, the original grain 0.64, promyelocytic