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靳某,男,5岁。1971年6月23日初诊。患者发热倦怠,面黄肌瘦,食欲不振,时有呕吐,鼻衄出血,皮肤有淤血点,夜间常汗出月余。查患者舌质淡红苔薄,脉细数。经某人民医院检查,原粒细胞2.5％,早幼粒细胞14.5％,中性粒细胞,中幼11.5％,晚幼15.5％,杆状核28.5％,分叶核7.5％,嗜酸粒细胞分叶核0.5％;原红细胞0.5％,早幼红细胞1.5％,中幼红细胞1％,晚幼红细胞1％;淋巴细胞11.5％,网状细胞4％,巨核细胞全片11个,粒细胞系统:有核红细胞20∶1,髓片共数有核细胞200个。特征:整个涂片有核细胞增生明显活跃,粒细胞系统增生明显活跃,有明显左移巨幼样改变,有中毒颗粒成熟障碍,红细胞系统增生相对减
Yanmou, male, 5 years old. Newly diagnosed on June 23, 1971. The patient had feverish lassitude, paler muscle, loss of appetite, vomiting, bleeding of the nose, congestion of the skin, sweating more than a month at night. Check the patient’s tongue pale red fur, pulse breakdown. Checked by a people’s hospital, 2.5% of myeloblasts, 14.5% of promyelocytic cells, neutrophils, 11.5% of young children, 15.5% of young children, 28.5% of rod-shaped nucleus, 7.5% of lobulated nucleus, eosinophils 0.5% for lobulated nucleus; 0.5% for primary erythrocytes, 1.5% for early young erythrocytes, 1% for medium and young erythrocytes, 1% for late erythroblasts, 11.5% for lymphocytes, 4% for reticular cells, 11 megakaryocytes, and granulocyte system : 20:1 nucleated erythrocytes and 200 nucleated cells in total. Features: The entire smear has nucleated cell proliferation is active, the granulocyte system hyperplasia is obviously active, there is a significant left-shifting giant juvenile-like changes, there are barriers to the maturation of poisoned particles, the red blood cell system hyperplasia is relatively reduced