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急性早幼粒细胞性白血病(M_6)并发肾性糖尿未见报道,现将我院1例报告如下.1 病例报告 患者,男13岁,学生,因头晕、乏力、面色苍白3天伴发热、口唇溃疡出血3天于1993年2月3日人院,平素身体健康,无遗传性代谢性疾病家族史.体检:T38.5℃,P120次/分,R20次/分,BP15/8kPa,热性面容,重度贫血貌,左下唇溃疡伴渗血,淋巴结不肿大,前胸壁皮肤散在出血点.胸骨压痛明显.两肺呼吸音清.心率120次/分,心律齐,心尖区ⅢSM.腹软、肝脾肋下未触及.神经系统正常.化验:Hb 48g/L,WBC 19×10~9/L,N 0.30,LO.08,早幼粒0.62,BPC 38×10~9/L.尿常规十尿分析:RBC(?)/HP,WBC+/HP.pH5.5,GlU一4~(?),PRO(?)1,BLO一3,肝肾功能正常.DIC检查:CTS′20″,PT 18″(对照 12.4″)KPTT43″(对照40″)TT13″(对照12″),3P(一),ELT>90′,Fi409mg/dl.空腹血糖:5.27mmol/L.葡萄糖耐量试
Acute promyelocytic leukemia (M_6) complicated by renal glycosuria has not been reported. One case in our hospital has now been reported as follows. 1 Case report patient, male, 13 years old, student, dizziness, fatigue, pale complexion for 3 days with fever, Lip ulcer bleeding for 3 days on February 3, 1993 in the hospital, usually healthy, no family history of inherited metabolic disease. Physical examination: T38.5°C, P120 beats/min, R20 beats/min, BP15/8kPa, heat Face, severe anemia appearance, left lower lip ulcer with bleeding, lymph nodes are not swollen, the skin of the anterior chest wall scattered in the bleeding point. The sternal tenderness is obvious. The lungs breath sounds clear. Heart rate 120 beats / min, heart rate Qi, apical area IIISM. Soft, liver and spleen did not touch the ribs. The nervous system was normal. Laboratory tests: Hb 48g/L, WBC 19×10~9/L, N 0.30, LO.08, PB 0.62, BPC 38×10~9/L. Urine routine ten-urine analysis: RBC(?)/HP, WBC+/HP.pH5.5, GlU-4?, PRO(?)1, BLO-III, normal liver and kidney function. DIC examination: CTS’20 “, PT 18” (control 12.4“) KPTT43” (control 40“) TT13” (control 12"), 3P (a), ELT> 90’, Fi 409 mg/dl. Fasting plasma glucose: 5.27 mmol/L. Glucose Tolerance test