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患者,女,31岁,工人。1987年6月因发热、牙龈出血、面色苍白、乏力20天住我院,经骨穿和组化诊断为AMLm56。经DOAP方案治疗3个疗程,复查骨髓象达到完全缓解。以后定期维持和巩固治疗。1990年8月,因受凉发热,皮肤出现出血点和瘀斑,骨关节疼痛、乏力1周而入院。体检:T38.6℃,慢性贫血病容,四肢皮肤散在出血点和瘀斑,浅表淋巴结不大,心脏正常,腹软,肝肋下2cm,质软,边钝,无触痛,脾肋下3cm,质中,边界清,无触痛。实验室检查:Hb80g/L,WBC3.4×10~9/L,幼单14%,PBC80×10~9/L。骨髓象:单核系
Patient, female, 31 years old, worker. In 1987 June due to fever, bleeding gums, pale, fatigue 20 days live in our hospital, diagnosed by the bone through the bone and AMLm56. The DOAP program for the treatment of 3 courses, review the bone marrow to achieve complete remission. After the regular maintenance and consolidation of treatment. 1990 August, due to cold and fever, skin bleeding and ecchymosis, bone and joint pain, fatigue for 1 week and admitted to hospital. Physical examination: T38.6 ℃, chronic anemia, limbs and skin scattered bleeding spots and ecchymosis, superficial lymph nodes, normal heart, abdomen soft, liver ribs 2cm, soft, blunt, no tenderness, spleen ribs 3cm, quality, clear boundary, no tenderness. Laboratory tests: Hb80g / L, WBC3.4 × 10 ~ 9 / L, single 14%, PBC80 × 10 ~ 9 / L. Bone marrow: mononuclear