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例1,男,9岁。因发热、面色苍白10天,腹痛、腿痛7天,干1977年9月3日入院。翌日突然鼻出血不止,便血约500ml。体检:体温38.4℃,皮肤苍白,可见少量大小不等出血点,浅表淋巴结无肿大,心肺(一),腹软,肝肋下3cm,剑下2cm,脾可触及边缘。血像:血红蛋白73g/L,红细胞2.2×10~(12)/L,白细胞1.0×10~9/1。中性4%,淋巴93%,幼稚3%,血小板24×10~9/L骨髓像:原淋+幼淋巴细胞80%’诊断为急性淋巴细胞白血病。采用VP方案(长春新碱、强的松)与VMP方案(即VP方案加6—MP)交替,同期服用中药(党参、
Example 1, male, 9 years old. Due to fever, pale 10 days, abdominal pain, leg pain for 7 days, dry September 3, 1977 admission. The following day suddenly nosebleed more than about 500ml of blood in the stool. Physical examination: body temperature 38.4 ℃, pale skin, showing a small amount ranging from bleeding points, superficial lymph nodes without swelling, heart and lung (a), abdominal soft, liver ribs 3cm, 2cm under the sword, spleen can reach the edge. Blood: hemoglobin 73g / L, red blood cells 2.2 × 10 ~ (12) / L, white blood cells 1.0 × 10 ~ 9/1. Neutral 4%, lymphatic 93%, naive 3%, platelet 24 × 10 ~ 9 / L bone marrow like: the original lymphocytes + 80% of lymphocytes diagnosed as acute lymphoblastic leukemia. VP regimen (vincristine, prednisone) and VMP program (ie, VP program plus 6-MP) alternating with the same period taking traditional Chinese medicine (Codonopsis,