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慢性粒细胞白血病(慢粒)终末期表现多为急交,其急变类型常为粒细胞型,而淋巴细胞、单核细胞、红白血病、嗜碱性粒细胞型等亦有报道,现将我院一例慢粒急淋变报告如下: 路某,女,27岁,1983年3月因乏力、纳差,伴不规低热,在当地医院治疗(用药不详),症状有所缓解,一月后,上述症状再次出现,并有鼻衄、龈血,上腹部包块,下肢关节疼痛,来我院就诊。体检:体温38.3℃,心率120次,呼吸23次,血压110/70。心肺(—),肝肋下2cm,剑下3cm,脾下界脐下4cm,右缘脐偏右1cm,质硬有压痛。化验:周围血白细胞160×10~2/L,中性中幼粒8,晚幼粒10,杆状核22,
Most of chronic myeloid leukemia (CML) end-stage performance of acute delivery, the type of rapid change often granulocytes, and lymphocytes, monocytes, erythroleukemia, basophil types have also been reported, now I A case of acute leiomyoclinomia report is as follows: Lu, a female, 27 years old, in March 1983 due to fatigue, anorexia, with irregular fever, in the local hospital treatment (medication unknown), the symptoms eased, after January , The above symptoms again, and epistaxis, gingival blood, upper abdominal mass, lower extremity joint pain, to our hospital. Physical examination: body temperature 38.3 ℃, heart rate 120 times, breathing 23 times, blood pressure 110/70. Heart and lung (-), 2cm under the ribs, 3cm under the sword, lower spleen under the umbilical 4cm, right umbilical right 1cm, hard and tender. Assay: Peripheral blood leukocytes 160 × 10 ~ 2 / L, Neutrophil 8, late promyelocytes 10, rod 22,