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男患,38岁。1986年7月因骨痛,皮肤紫癜住院。查体:轻度贫血貌。皮肤散在出血点,胸骨压痛(+)。心肺(-)。肝脾未触及。实验室检查:Hb100g/LWBC4.9×10~9/L,Plt13×10~9/L,分属:原+早幼粒66％。骨髓象:原+早幼粒54％。细胞化学染色:Pox80％(+),NAE(+),氟化钠抑制试验不被抑制。诊断急非淋M_2型。入院第2天用标准血清玻片法定为B型,肉眼和显微镜观察均无凝集现象,住院期间经6次交叉配血试验,主次侧均无凝集现象。输新鲜全血6次,共1.8L,其中仅两次出现荨麻疹,用非那根后消退。同年12月完全
Male suffering, 38 years old. July 1986 due to bone pain, skin purpura hospitalization. Physical examination: mild anemia appearance. Bleeding at the skin, sore tenderness (+). Cardiopulmonary (-). Liver and spleen not touched. Laboratory tests: Hb100g / LWBC4.9 × 10 ~ 9 / L, Plt13 × 10 ~ 9 / L, belonging to: pro + promyelotic 66%. Bone marrow: original + promyelocytic 54%. Cytochemical staining: Pox 80% (+), NAE (+), sodium fluoride inhibition test is not inhibited. Diagnosis of acute Fei Lin M_2 type. On the second day of admission, the standard serum slide was used as type B, no agglutination was observed by naked eyes and microscopy. Six cross-matching blood tests were conducted during hospitalization, and there was no agglutination on the primary and secondary sides. Losing fresh whole blood six times, a total of 1.8L, of which only two urticaria, subcutaneous fofinal. The same year in December completely