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男,32岁,农民,已婚,1972年8月9日入院。两个多月来进行性面色苍白,伴皮肤、牙龈出血,不能胜任体力劳动。九天来左眼视力减退。过去体健,无酱油色尿病史,无特殊药物及放射线接触史。家族中无肿瘤及血液病者。体查:发育正常,中度贫血貌,全身皮肤散在出血点,浅表淋巴结不大,巩膜无黄染,左眼底出血,左眼视力为跟前指数。心肺(-),肝脾未扪及。检验:血红蛋白5.5g,红细胞272万,白细胞3600。分类,中性62%,淋巴34%,嗜酸4%,血小板3.4万,网织红细胞0.2%;骨髓增生极度低下,粒:红=7:1,中幼粒1%,晚幼粒8%,杆状10%,分叶16%,中幼红4%,晚幼红1%,淋巴34%,单核15%,浆细胞5%,网状细胞6%,巨核细胞找不到,血小板极少。
Male, 32, farmer, married, admitted to hospital on August 9, 1972. More than two months pale, with skin, bleeding gums, can not do manual labor. Nine days left eye vision loss. In the past physical health, no history of soy sauce color urine, no special drugs and radiation exposure history. Family without tumor and blood disease. Physical examination: normal development, moderate anemia appearance, systemic scattered in the bleeding point, superficial lymph nodes, sclera no yellow dye, left eye fundus bleeding, left eye vision index for the forward. Cardiopulmonary (-), liver and spleen not palpable. Test: Hemoglobin 5.5g, red blood cells 2.72 million, 3600 white blood cells. Classification, Neutral 62%, Lymph 34%, Eosinophilic 4%, Platelet 34,000, Reticulocyte 0.2%; Bone Marrow Proliferation Extremely Low, Granule Red = 7: 1, , Rod 10%, leaf 16%, eriodon 4%, late red 1%, lymphatic 34%, mononuclear 15%, plasma cell 5%, reticulocyte 6%, megakaryocyte not found, platelet Very few.