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慢性粒细胞性白血病(简称慢粒)急变为红白血病少见。作者近5年见到5例。例1 男,38岁。慢粒病史2年多,因发热,乏力1月入院。肝肋下2cm,脾肋下3cm。血象:Hb4.0,WBC25×10~9/L,原粒8％,有幼红。骨髓象:增生极度活跃,粒红比0.9:1,原粒14％,幼红52％,原始红+早幼红4％,有巨幼样变,PAS染色强阳性。倒2 男,32岁。慢粒病史10年,因发热、乏力2周入院,肝肋下1cm,脾肋下19cm。血象:Hb4.5,WBC 19.5×10~9/L,原粒3％,有幼红。骨髓象:增生明显活跃,粒红比0.8:1,原粒20％,幼红54％有巨
Chronic granulocytic leukemia (referred to as CML) acute red blood leukemia is rare. The author saw 5 cases in the recent 5 years. Example 1 Male, 38 years old. Cough history more than 2 years, due to fever, fatigue in January hospitalization. Liver ribs 2cm, Spleen ribs 3cm. Blood: Hb4.0, WBC25 × 10 ~ 9 / L, the original particle 8%, with red. Bone marrow hyperplasia was extremely active, with a ratio of 0.9 to 1, a native 14%, a magenta 52% and a primordial magenta 4%. Down 2 men, 32 years old. Cicatricial history of 10 years, due to fever, fatigue, 2 weeks admission, liver ribs 1cm, 19cm spleen ribs. Blood: Hb4.5, WBC 19.5 × 10 ~ 9 / L, 3% of the original particles, with red. Bone marrow: hyperplasia significantly active, grainy than 0.8: 1, 20% of the original particles, 54% of young red giant