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患者女,43岁.因发热、全身骨骼疼痛、黄疸2天于1989年10月15日入院.体检:巩膜皮肤轻度黄染,双下肢散在瘀斑,浅表淋巴结不肿大,胸骨中下段、脊柱、盆骨及四肢骨骼明显压痛,心肺无异常,腹部有不固定压痛,肝脾不大.血象Hb:35g/L,WBC12×10~9/L;分类:中性粒细胞76%、淋巴细胞24%,幼红细胞20个/分类100个白细胞,血小板16×10~9/L.尿酸238umol/L,血钙2umol/L.左髂前上棘骨髓穿刺干抽,右髂前上棘抽出暗红色胶冻状物,胸骨穿刺出稍暗红骨髓.瑞氏染色涂片所见几乎为坏死细胞:胞膜破裂,胞浆
Female patient, aged 43. Due to fever, generalized bone pain, jaundice was admitted to hospital on October 15, 1989. Physical examination: Slightly yellowish scleral skin, scattered ecchymosis of both lower extremities, superficial lymph nodes, , Spine, pelvis and limbs bone tenderness, no abnormal heart and lungs, irregular abdominal tenderness, hepatosplenomegaly.Hb: 35g / L, WBC12 × 10 ~ 9 / L; Classification: 76% of neutrophils, Lymphocytes 24%, erythrocyte 20 / classification of 100 white blood cells, platelets 16 × 10 ~ 9 / L. Uric acid 238umol / L, calcium 2umol / L. Left anterior superior iliac spine bone marrow aspiration, right anterior superior iliac spine Remove the dark red jelly-like, sternum punctured a slightly dark red bone marrow.Wright staining stained almost see dead cells: rupture of the cell membrane, cytoplasm