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庞××,男,75岁,病历号:072306,因进行性心悸,无力、面色苍白,食差一个月于1994年6月22日入院。病后无发热及出血,无骨骼疼痛。体检:贫血貌,皮肤无黄染及出血点,浅表淋巴结不大,胸骨无压痛,心肺未闻及异常,肝脾不肿大。实验室检查:血红蛋白55g/L,红细胞1.9×10~12/L,血小板35×10~9,肉织红细胞0.3％,白细胞3.7×10~9/L,中性51％,淋巴45％,大单核2％,晚幼红细胞2％,粒细胞呈轻度左移,计数100个白细胞见到两个有核红细胞,红细胞呈现大小不等及形态异常(梨形,泪滴状可见),胸骨及髂前上棘,髂后上棘穿刺均呈“干抽”现象,骨髓活检(髂后)病理所见:弥漫性纤维组织增生,骨髓间质弥漫出血及胶样变性,胶原纤维
Pang × ×, male, 75 years old, medical record number: 072306, due to progressive heart palpitations, weakness, pale, food poor one month in June 22, 1994 admission. No fever and bleeding after illness, no bone pain. Physical examination: anemia appearance, skin yellowing and bleeding points, superficial lymph nodes, sternal no tenderness, heart and lungs are not heard and abnormal, hepatosplenomello not swollen. Laboratory tests: hemoglobin 55g / L, erythrocyte 1.9 × 10-12 / L, platelet 35 × 10-9, 0.3% of red blood cells, white blood cells 3.7 × 10 ~ 9 / L, neutral 51%, lymph 45% Mononuclear 2%, late erythroblasts 2%, granulocytes showed a slight left shift, counted 100 white blood cells to see two nucleated erythrocytes, red blood cells showed unequal sizes and morphological abnormalities (pear-shaped, teardrop-shaped visible), sternal And the anterior superior iliac spine and posterior superior iliac spine showed “dry pumping” phenomenon. Bone marrow biopsy (posterior iliac) pathological findings: diffuse fibrous tissue hyperplasia, bone marrow interstitial diffuse hemorrhage and plastic degeneration, collagen fibers