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患者男,40岁。因全身乏力7月余,加重一月,于1982年12月23日入院。检查:贫血貌,皮肤无出血点,耳鼻咽喉无特殊发现,心尖区可闻及Ⅲ级收缩期杂音,肝肋下0.5cm质软,脾肋下0.5cm质中等。血常规:血红蛋白7.3g,红细胞220万,白细胞1,200,中性12%,淋巴30%,嗜酸性细胞2%,原粒细胞56%.骨髓象涂片上示有核细胞数极度增生,以原粒细胞为主(79%),过氧化酶染色呈强阳性反应。符合急性粒细胞性白血病的诊断。治疗经过:给予HOP(长春新碱、高三尖杉脂
Male patient, 40 years old. Due to generalized fatigue in July more than January, was admitted on December 23, 1982. Check: anemia appearance, no bleeding skin, ear and nose throat no special discovery, apex area can be heard and Ⅲ systolic murmur, liver ribs 0.5cm soft, 0.5cm medium spleen ribs. Blood: hemoglobin 7.3g, 2.2 million red blood cells, 1,200 leukocytes, 12% neutral, lymphatic 30%, 2% eosinophils, myeloblasts 56% .Bone marrow as shown on the smear cells with extremely hyperplasia, Granulocyte-based (79%), peroxidase staining was strongly positive reaction. In line with the diagnosis of acute myeloid leukemia. After treatment: given HOP (vincristine, Cephalotaxis high