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患者洪某,男,25岁,因发热伴乏力5天于1986年3月23日入院。5天前开始无明显诱因的寒战,继而发热达39 0C,伴乏力、纳差。门诊查血WBC为151 X 108/L,经骨髓涂片检查诊断为慢性粒细胞白血病急粒变入院。既往健康。体检:T39. VC, P120次,Bp 110/70mmHg。轻度贫血面容。皮肤无出血、黄染。表浅淋巴结未触及。胸骨无压痛。肺无异常。心律齐,心尖区闻及Ⅱ级收缩期杂音。肝肋缘下1.5cm,质尚软。脾下缘在脐下
Hongmou patients, male, 25 years old, due to fever with fatigue 5 days in March 23, 1986 admission. 5 days ago there is no obvious incentive chills, fever and then reached 39 0C, with fatigue, anorexia. Outpatient blood test WBC 151 X 108 / L, diagnosed by bone marrow smear acute myeloid leukemia hospitalized. Past health. Physical examination: T39. VC, P120 times, Bp 110 / 70mmHg. Mild anemia. No bleeding skin, yellow dye. Superficial lymph nodes not touched. Sternal no tenderness. No abnormal lungs. Qi, apical area smell and Ⅱ systolic murmur. Liver ribs under the edge of 1.5cm, the quality is still soft. Under the spleen under the navel