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患者男,26岁,半个多月前出现间断发热,伴乏力,自服“感冒退热药物”好转,1周前出现心悸、头晕、头痛,入院查体可及舌溃疡,左侧颈部可触及肿大淋巴结,有压痛;可见外痔,伴触痛。入院后查血常规示:WBC 40.02×109/L、RBC1.93×1012/L、Hb 66 g/L、PLT 118×109/L,分类可见幼稚细胞49%;骨髓形态示急性髓系白血病M5b骨髓象;免疫分型见
Patients male, 26 years old, more than half a month before intermittent fever, with fatigue, self-serving “cold fever drugs” improved, 1 week ago palpitations, dizziness, headache, admitted to the physical examination and tongue ulcer, left Neck palpable lymph nodes, tenderness; visible external hemorrhoids, with tenderness. The blood routine examination showed that WBC 40.02 × 109 / L, RBC 1.93 × 1012 / L, Hb 66 g / L and PLT 118 × 109 / L, the classification showed that 49% of the naive cells were classified; the myeloid morphology showed acute myelogenous leukemia M5b Bone marrow; see immunophenotyping