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患儿,女10岁。因面色苍白、乏力、食欲差1个多月而于1989年1月8日入院。体检:发育营养中等,贫血外貌,皮肤无出血点。淋巴结不大,心音于胸骨左缘第3、4肋间可闻Ⅱ～Ⅲ级收缩期吹风样杂音,肺正常。腹软、肝肋下0.5cm,脾不大。血红细胞1.41×10~(12)/L,血红蛋白46g/L,血小板110×10~9/L,白细胞12.3×10~9/L,中性0.64,淋巴0.33,幼稚细胞0.03。骨髓:有核细胞增生极度活跃,淋巴系列高度增生,以原、幼淋巴细胞为主(51.5%),其中75%呈
Children, female 10 years old. Due to pale, weakness, poor appetite more than 1 month and was admitted on January 8, 1989. Physical examination: development of moderate nutrition, anemia appearance, skin no bleeding point. Lymph nodes are not, heart sound in the left border of the sternal 3,4 intercostal can smell Ⅱ ~ Ⅲ systolic hair-like murmur, lungs normal. Abdomen soft, liver ribs 0.5cm, spleen is not large. 1.41 × 10 ~ (12) / L of hemoglobin, 46g / L of hemoglobin, 110 × 10 ~ 9 / L of platelets, 12.3 × 10 ~ 9 / L of leukocytes, 0.64 of neutral, 0.33 of lymphoid lymph nodes and 0.03 of naive cells. Bone marrow: nucleated cell hyperplasia is extremely active, hyperplasia of lymphoid series, with primary lymphocytes (51.5%), of which 75% were