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低增生性白血病临床少见,急性淋巴细胞白血病(L_3)型更为少见,因此,初诊时易误诊。现将我院收治的1例报告如下。陈某,女,18岁,学生,长丰县人。1992年3月在无明显诱因下出现面色苍白,金身乏力,纳差,在当地卫生院以重度贫血治疗效果不明显。近十日有黑便,时有恶心,上腹部不适,症状加重,于4月7日转我院外科。查体:急性病容,神清,面色苍白,营养中等,自动体位,查体合作,全身皮肤不黄,巩膜无黄染。无出血点,瘀点,斑斑。淋巴结(一),两肺呼吸音粗,腹平软,来及包块,全腹均有压痛,以上腹部明显。肝大4.5cm,脾未满意触及。血常规显示WBC:5.4×10~9/L,N:0.68,L:0.32,Hb30g
Hypo-hypoallergenic leukemia clinical rare, acute lymphoblastic leukemia (L_3) type is more rare, so easily misdiagnosed when the first visit. Now in our hospital one case reported as follows. Chen, female, 18 years old, student, Changfeng County. In March 1992 there was no obvious incentive to appear pale, golden body fatigue, anorexia, in the local hospitals to treat severe anemia is not obvious. Nearly ten days meleches, when nausea, upper abdominal discomfort, symptoms worsened, on April 7 to our hospital surgery. Physical examination: acute disease, Shenqing, pale, moderate nutrition, automatic position, physical examination, the body is yellow, scleral no yellow dye. No bleeding point, petechia, stained. Lymph nodes (A), two lungs sound rough tone, abdominal soft, come and mass, all abdominal tenderness, the above abdomen obvious. Large liver 4.5cm, the spleen is not satisfied with touch. Blood samples showed WBC: 5.4 × 10 -9 / L, N: 0.68, L: 0.32, Hb 30 g