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男,15岁。发热,全身骨骼酸胀伴右膝关节剧痛,皮肤瘀点、瘀斑,胸骨体下端明显压痛。白细胞分类幼稚细胞0.11、中性0.63、淋巴细胞0.26、血小板25×10~9/L。在不同部位穿刺5次病理报告均呈坏死骨髓、细胞结构不能辨认。经VDP治疗2疗程缓解,确诊为ALL合并骨髓坏死(BWN)伴纤维化。指出自血病是BWN的常见原发病,其
Male, 15 years old. Fever, body soreness with severe pain in the right knee, skin petechiae, ecchymosis, tenderness in the lower end of the sternum. Leukocyte classification naive cells 0.11, neutral 0.63, lymphocytes 0.26, platelets 25 × 10 ~ 9 / L. In different parts of the puncture 5 pathological reports showed necrotic bone marrow, cell structure can not be identified. VDP treatment 2 courses of remission, diagnosed with ALL combined with bone marrow necrosis (BWN) with fibrosis. It is pointed out that leukemia is a common primary disease of BWN