白血病-双语(2022年-2023年).pdfVIP

白 血 病 白 血 病 Leukemia Leukemia Department of hematology Wang Xin 掌握急性白血病临床表现、诊断、鉴别诊断与治疗方法 熟悉白血病概述、急性白血病分类和分型、MICM实验方 法 了解白血病发病情况、病因和发病机制 难点：白血病的分类、分型、MICM临床意义 病历摘要（一） • 男性，37岁。入院前1周无明显诱因 • Male, 37 years old. One week before admission, there was no obvious cause of 感头昏、乏力、发热，体温波动在38℃ dizziness, fatigue, or fever, and the body 左右。院外血常规：RBC 3.41 ×1012/L ， temperature fluctuated around 38°C. Out-of- 9 hospital blood routine: RBC 3.41×1012/ L, Hb Hb 73g/L ，WBC 70.16 ×10 /L ，PLT 73g/ L, WBC 70.16×109/ L, PLT 10×109/ L, 9 10 ×10 /L ，幼稚细胞 46%。 46% immature cells. • 入院查体：T 37.8℃，P 97次/分，R 20 • Admission examination: T 37.8℃, P 97 次/分，BP 122/78mmHg 。贫血貌，四肢 beats/ min, R 20 beats/ min, BP 122/78mmHg. 皮肤散在瘀斑、瘀点。双侧颈部、腋窝、 Anemia, with scattered ecchy mosis and petechiae on the skin of the limbs. Some 腹股沟区可扪及数量不等肿大淋巴结， enlarged ly mph nodes in the neck, axillary 最大约2x1cm ，质韧，活动，无压痛。 area, and groin area on both sides can be palpated. The maximum size is about 2x1cm. 咽部充血，扁桃体I度肿大。胸骨压痛。 They are tough, flexible, and non-tender. The 脾肋下约3cm ，质软，无明显触痛。余 phary nx was hy peremia and the tonsils were swollen to I