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患者,男,28岁,软件工程师,河南巩义市人,在南京工作。2013年5月27日,因持续高热至江苏省中医院就诊。入院查体:急性病容,脸色苍白,体温39.8℃。血常规检查:血红蛋白86 g/L,红细胞计数3.2×1012/L,白细胞计数7.2×109/L,血小板计数18×109/L,外周血中可见原始单核细胞和幼稚单核细胞为34%。骨髓细胞学检查:骨髓增生活跃,可见幼稚单核细胞和早幼粒细胞为57%。临床诊断为急性单核细胞性白血病,于当日入院开始化疗。患者住院化疗期间出现严重贫血,血红蛋白最低降至60g/L,
Patient, male, 28 years old, software engineer, Gongyi City, Henan Province, working in Nanjing. May 27, 2013, due to sustained high fever to Jiangsu Provincial Hospital of Traditional Chinese Medicine. Admission examination: acute disease, pale, body temperature 39.8 ℃. Blood tests: hemoglobin 86 g / L, red blood cell count 3.2 × 1012 / L, white blood cell count 7.2 × 109 / L, platelet count 18 × 109 / L, visible in the peripheral blood of naive monocytes and naive monocytes was 34% . Bone marrow cytology: Myeloid hyperplasia, showing naive monocytes and promyelocytic cells was 57%. Clinical diagnosis of acute monocytic leukemia, admitted to the hospital on the day of chemotherapy. Patients with severe anemia during hospitalization, hemoglobin lowest to 60g / L,