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女患,20岁。因头昏、乏力伴间断发热2月余于1987年4月8日入院。起病后并有牙龈出血,月经量增多。近日有时鼻衄。过去无特殊病史。体检:T36.5℃,P16/10.7KPa,贫血貌,皮肤无出血,浅表淋巴结不肿大。右鼻孔少许血痂。心界不扩大,心率96次,律齐,心尖部Ⅱ级收缩期吹风性杂音。肺部无啰音?纹⒗呦赂占啊J笛槭壹觳?Hb53g/L,RBC1.8×10~(12)/L,WBC3.5×10~9/L分类:原粒2%,杆核2%,分叶核78%,淋巴18%,偶见晚幼红。BPC39×10~9/L,网织红细胞0.016.骨髓增生明显活跃,粒:红=4··1,原粒占20.2%,幼红细胞呈类巨幼变,并见核畸形。全
Female suffering, 20 years old. Due to dizziness, fatigue with intermittent fever in February more than April 8, 1987 admission. After onset and bleeding gums, increased menstrual flow. Recently, sometimes epistaxis. In the past no special medical history. Physical examination: T36.5 ℃, P16 / 10.7KPa, anemic appearance, skin no bleeding, superficial lymph nodes is not enlarged. Right nostril a little blood scab. Heart does not expand, heart rate 96 times, law Qi, apex systolic hair blowing murmur. Pulmonary rales? Wrinkles yo account for ah J Flute Maple One 觳? Hb53g / L, RBC1.8 × 10 ~ (12) / L, WBC3.5 × 10 ~ 9 / L Category: 2% 2% rod core, leaf core 78%, lymph 18%, occasionally late red. BPC39 × 10 ~ 9 / L, reticulocyte 0.016. Myeloid hyperplasia was obviously active, granule: red = 4 ·· 1, the original particles accounted for 20.2%, erythroblasts showed giant megaloblastic, and see the nuclear deformity. all