论文部分内容阅读
患儿,男,2岁,1月前腹部膨隆并进行性加重,近几天腹部膨隆增大,呼吸急促。查体:T36.7℃,P100次/分,体重13kg。神志清,精神可,皮肤粘膜无黄染及出血点等,浅表淋巴结无肿大,肝剑下0.5cm,肋下1cm,脾未触及。血Hb98g/L,WBC8.5×10~9/L,N0.46,L0.54,骨髓象增生活跃,粒系、红系、巨核细胞系及淋巴细胞系均大致正常,未找到特殊细胞。肝功能正常。AFP<20ng/ml。肝脏穿刺涂片:见有大量的原始、幼稚
Children, male, 2 years old, 1 month ago bulging and progressive abdomen, abdominal swelling in recent days increased, shortness of breath. Physical examination: T36.7 ℃, P100 times / min, weight 13kg. Clear mind, the spirit can be, skin and mucous membrane without yellow dye and bleeding points, superficial lymph nodes without swelling, liver sword 0.5cm, rib 1cm, spleen not touched. Blood Hb98g / L, WBC8.5 × 10 ~ 9 / L, N0.46, L0.54, bone marrow hyperplasia active, granulocyte, erythroid, megakaryocyte and lymphocyte lines were generally normal, no special cells found. Liver function is normal. AFP <20ng / ml. Liver puncture smear: see a large number of primitive, naive