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我院发现在10年内母女同患急性非淋巴细胞白血病,实属少见,现报告如下。例1,女,38岁,工人,因头晕、乏力伴牙龈出血1周,月经过多2天,于1981年11月2日来院就诊。查体:T38.4℃;贫血貌,左侧颈部触及黄豆大小的淋巴结数个;胸骨明显压痛;肝助下2cm,剑下7cm,质软,无触痛;脾肋下2cm,质韧,无触痛;余(-)。实验室检查:①血常规;Hb100g/L、WBC51.2×10~9/L,幼稚粒细胞95,分叶核5。骨髓象:骨髓增生极度活跃,粒系异常增生,病理性原粒细胞80%,早幼粒细胞7%;浆内见到Auer小体。诊断急性粒细胞性白血病
Our hospital found that 10 years of mother and daughter suffering from acute non-lymphocytic leukemia, it is rare, are as follows. Example 1, female, 38 years old, workers, due to dizziness, fatigue with gingival bleeding for 1 week, menorrhagia for 2 days, on November 2, 1981 to hospital. Physical examination: T38.4 ℃; anemic appearance, the number of nodes on the left side of the neck touching soybean size; sternum tenderness; liver support 2cm, sword 7cm, soft, no tenderness; spleen ribs 2cm, , No tenderness; Yu (-). Laboratory tests: ① blood; Hb100g / L, WBC51.2 × 10 ~ 9 / L, immature granulocytes 95, lobulated 5. Bone marrow: bone marrow hyperplasia is extremely active, abnormal proliferation of granulocytes, pathological myeloblasts 80%, promyelocytic 7%; see Auer body within the pulp. Diagnosis of acute myeloid leukemia