09病例剖析(国外英文资料).doc

09病例分析 N 1, the patient male, 44 years old. He was admitted to hospital for more than a month. The patient has been suffering from fatigue, wasting, low heat, sweat and dizziness in the past year. 1 months recently, first on feeling symptoms such as cough, nasal congestion, sneezing, and then high fever, temperature up to 39 ℃. Was treated with penicillin and streptomycin drugs, hypothermia after recovery, has up to 40 ℃, with fatigue, poor appetite. N a medical. T39 ℃, P100 times/min, the R25 times/min, BP16/10 kpa. Listless, moderately anemic, the skin of the sclera has no yellow dye, no stasis. The superficial superficial lymph nodes are not, and the lower part of the sternum is visibly sore. Cardiopulmonary examination was negative. Hepatic costal 2cm, in the quality: 6cm in the spleen, in the mass, there is obviously tenderness. Nothing else. Laboratory examination: blood leukocyte 44.6 by 109 / L; Red blood cell 2.6 x 1012 / L, hemoglobin 65 g/L; The platelet count is 76 times 109 / L. See infantile white blood cells (mainly in medium and late childhood). N, diagnostic and diagnostic basis N 2, differential diagnosis Third, check further N four, the treatment principle N, diagnostic and diagnostic basis N (1) diagnosis of chronic myeloid leukemia. N (2) : N 1, medical history: 1 year gradually appear weak, thin, low heat, sweat. N 2, symptoms: nearly a month, first on feeling symptoms such as cough, nasal congestion, sneezing, and then high fever, temperature up to 39 ℃. N 3, signs: T39 ℃, lower sternal tenderness obviously, liver rib under 2 cm, mass: the spleen rib under 6 cm, in the mass, there are obvious tenderness. Supplementary examination: blood leukocyte 44.6 by 109 / L; Red blood cell 2.6 x 1012 / L, hemoglobin 65 g/L; The platelet count is 76 times 109 / L. See infantile white blood cells (mainly in medium and late childhood). N 2, differential diagnosis Other causes: liver cirrhosis, etc. N 2, the type of leukaemia reaction N, 3, myelogenous disea