例1,患者,男,9岁。主诉以不规则高热7个多月,于1978年12月11日入院。病起1978年4月间,常发高热,面色变黄,疑为结核,经治4个月无效,8月4日转来我科。当时查体:体温:39,2℃,面黄神萎,心脏扩大,肝脾未触及。血常规:Hb4.5g％,红细胞170万、白细胞1100/mm~3,中性23％、淋巴67％,血小板17万。贫血常规为正细胞低色素性;骨髓细胞检查为增生明显活跃,粒系偏低、红系增生,比值0.5:1,无形态异常,按感染性再生低下性贫血治疗,9天退烧,后贫血纠正。9月10再次骨穿,镜检正常,9月19日出院,12月11日又因高热门诊,血常规白细胞22000,淋巴占、90％,10％为幼淋,肝脾肿大遂再次住院。12月16日骨穿镜检:髓细胞明显增生,粒红两系受抑,急淋系极度增生,原淋幼淋分别占9％、38％,确诊急淋,白血病前期24天。 Example 1, patient, male, 9 years old. Chief complaint with irregular fever more than 7 months, on December 11, 1978 admission. Sick between 1978 April, often high fever, looking yellow, suspected TB, the rule 4 months invalid, August 4 transferred to my department. At that time physical examination: body temperature: 39,2 ℃, face yellow wilt, heart enlargement, liver and spleen not touched. Blood: Hb4.5g%, 1.7 million red blood cells, white blood cells 1100 / mm ~ 3, 23% neutral, lymphatic 67%, 170,000 platelets. Anemia routine positive cell hypochromic; bone marrow cells were significantly hyperplasia active, low myroidism, erythroid hyperplasia, the ratio of 0.5: 1, no morphological abnormalities, according to the treatment of infectious anemia, anemia, 9 days after fever, anemia correct. September 10 again bone wear, microscopic examination was normal, September 19 was discharged, December 11 because of hot clinics, blood 22,000 leukocytes, lymph, 90%, 10% of the young Lin, hepatosplenometre then again hospitalized . December 16 bone wear microscopic examination: significant proliferation of myeloid cells, two-grained red suppression, acute lymphoblastic hyperplasia, the original gonorrhea, respectively, 9%, 38%, confirmed acute lymphoblastic leukemia early 24 days.