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急性浆细胞型白血病(下称急浆)是一种少见的白血病类型,国内文献报道甚少。本文报告2例,并结合有关资料进行讨论。本文图见封四。例1 肖×,男,43岁,1980年9月24日入院,住院号67420。入院前20天畏寒、发热、疲乏无力、鼻衄、胸痛等。既往史无特殊。体检:体温37.3℃,眼结膜苍白,巩膜无黄疸,颌下淋巴结蚕豆大,鼻前庭有血痂,胸骨叩痛。心肺无异常。肝肋弓下2厘米,侧卧时脾可触及。全身皮肤未见瘀点。化验:血红蛋白5克%,白细胞9500,中性40%,淋巴6%,原浆加幼浆50%,成浆细胞4%。血小板7万。尿蛋白(++),颗粒管型(+),本周氏
Acute plasma cell leukemia (hereinafter referred to as acute pulp) is a rare type of leukemia, few reports in the domestic literature. This article reports 2 cases, and combined with the relevant information for discussion. This article see seal four. Example 1 Xiao X, male, 43 years old, admitted to hospital on September 24, 1980, hospital number 67420. 20 days before admission chills, fever, fatigue, weakness, epistaxis, chest pain and so on. No previous history. Physical examination: body temperature 37.3 ℃, pale conjunctiva, sclera jaundice, submandibular lymph nodes broad bean, nasal vestibule with blood scab, sternum percussion pain. No abnormal heart and lung. Liver ribs 2 cm under the spleen when the side can be touched. No skin peel body parts. Laboratory tests: 5 grams of hemoglobin, 9500 white blood cells, 40% neutral, lymphatic 6%, 50% puree plus juvenile pulp, into plasma cells 4%. 70,000 platelets. Urinary protein (++), granular tube (+), this week’s