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患者男性,31岁,农民个体户。因高热、皮下淤点十天于1986年9月10日入院。1979年2月,患者曾因重度贫血,两侧颈部淋巴结无痛性多个肿大在本组住院。当时血象Hb30g/L,WBC 8×10~9/L、N60％、L40％,BPC110×10~9/L,Ret0.3％。骨髓象示有核细胞轻度增生,粒:红=50:1,红系仅见原红细胞0.8％,粒系:原粒0.4％、早幼粒0％、中幼粒0.8％、晚幼粒5.6％、带状核7.2％、分叶核15.6％,巨核细胞30个/片,成熟淋巴细胞49.6％,分类不明细胞(胞体较大、核大、核仁明显)2％。血清a_2球蛋白升高(10.6％)。ESR85mm/hr。住院期间每天均发热38℃左右,最高39.7℃。诊为纯红再障、恶性淋巴瘤?拒绝
Male patient, 31 years old, farmer self-employed. Due to high fever, subcutaneous petechia ten days in 1986 September 10 admission. February 1979, patients had severe anemia, painless multiple neck lymph nodes on both sides in this group hospitalized. Hb30g / L, WBC 8 × 10 ~ 9 / L, N60%, L40%, BPC110 × 10 ~ 9 / L and Ret0.3% respectively. Bone marrow showed mild hyperplasia of nucleated cells, granule: red = 50: 1, only erythroid erythrocyte 0.8%, granulocyte: 0.4% of primordia, 0% of promyelocytes, 0.8% of juvenile grains, 5.6 %, Nucleus 7.2%, leaf nucleus 15.6%, megakaryocyte 30 / piece, mature lymphocyte 49.6%, unknown cell (big cell body, large nucleus, obvious nucleoli) 2%. Serum a 2 globulin was elevated (10.6%). ESR 85mm / hr. Every day during hospitalization fever about 38 ℃, the highest 39.7 ℃. The diagnosis of pure red aplasia, malignant lymphoma? Refused