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杨某,48岁,阴道淋漓流血伴头晕、乏力6月,经妇科久治不愈来院,无发热及全身痛。查体:重度贫血貌,皮肤粘膜无黄染及出血点,浅表淋巴结无肿大,骨骼无压痛,心肺正常,肝脾未触及。辅查:Hb23g/L,RBC0.78×10~(12)/L,WBC1.5×10~9/L,N0.58,L0.42,PC7×10~(?)/L。偶见幼稚细胞。骨髓片示单核系异常恶性增生,原始+幼稚为0.78,形态不规则,可见内外浆,内浆含有
Yang, 48 years old, vaginal bleeding with dizziness, fatigue in June, the long-term treatment of gynecology to hospital, no fever and body pain. Physical examination: severe anemia, skin and mucosa without yellow dye and bleeding, superficial lymph nodes without swelling, no tenderness in the bones, normal heart and lungs, liver and spleen not touched. Sub-check: Hb23g / L, RBC0.78 × 10 ~ (12) / L, WBC1.5 × 10 ~ 9/L, N0.58, L0.42, PC7 × 10 ~ (?) / L. Occasionally naive cells. Bone marrow showed mononuclear abnormal malignant hyperplasia, primordial + naive 0.78, irregular shape, visible inside and outside the pulp, the pulp contains