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储某,男性,19岁,住院号82—4431。因发热伴骨痛11天,于1982年8月28日入院。患者于1981年9月底因左胸痛,腰骶部疼痛在外地就诊,经骨髓检查,诊断为急性淋巴细胞型白血病,予COAP方案治疗(疗程不详)后缓解。1982年1月12日又因胸、腰骶部疼痛来我院就诊,骨髓检查报告为:原淋、幼淋占89.5%,诊断为急淋复发。同时查谷丙转氨酶1020卡门氏单位,总胆红质1.65mg,一分钟胆红质0.7mg。经予COAP方案二疗程,骨髓缓解,肝功亦恢复正常。后继予COAP方案巩固一疗程,并同时予MTX10mg加地塞米松5mg鞘内注射预防中枢神经系统白血病。住院55天后出院,继续予MTX、Ara-c、CTX等
Chu a, male, 19 years old, hospital number 82-4431. Due to fever with bone pain for 11 days, on August 28, 1982 admission. Patients at the end of September 1981 due to left chest pain, lumbosacral pain in the field of treatment, the bone marrow examination, the diagnosis of acute lymphoblastic leukemia, to COAP regimen (treatment unknown) after remission. January 12, 1982 because of thoracic and lumbosacral pain to our hospital, bone marrow examination reported as: the original leaching, lymphocysts accounted for 89.5%, the diagnosis of acute lymph node recurrence. At the same time check Alanine aminotransferase 1020 Carmen unit, total bilirubin 1.65mg, one minute 0.7mg of bilirubin. After given COAP program two courses, bone marrow remission, liver function also returned to normal. Subsequent to the COAP program to consolidate a course of treatment, and at the same time MTX10mg plus dexamethasone 5mg intrathecal injection to prevent central nervous system leukemia. 55 days after hospital discharge, continue to MTX, Ara-c, CTX and so on