资料回顾患者,女性,46岁,住院号135502,主因头晕,乏力,双下肢股部剧痛,腰困伴行走困难,精神食欲差而收住入院。患者贫血外貌,皮肤粘膜未见黄染,肝、脾,淋巴结不肿大,胸骨压痛(+),实验室检查:血红蛋白105g/L,红细胞3.85×10~(12)/L,白细胞5×10~9/L,血小板100×10~9/L,网织红细胞 0.01,骨髓增生明显活跃,原始小巨核细胞占93.8%,胞体大小不一,园形或椭圆形,边缘不整齐,核多见扭曲,折叠,核出芽现象明显,双核易见。核染色质细致,部分细胞可见1～2个不甚明显的核仁,多数细胞浆不规则,泡状,指状突起明显,呈兰或淡兰色,无颗粒,少 Data review Patient, female, 46 years old, hospital number 135502, mainly due to dizziness, fatigue, pain in both lower extremity shares, difficulty walking with lumbar dysfunction, poor mental appetite and admitted to hospital. Patients with anemia appearance, skin and mucous membrane no yellow dye, liver, spleen, lymph node enlargement, chest tenderness (+), laboratory tests: hemoglobin 105g / L, red blood cells 3.85 × 10-12 / L, white blood cells 5 × 10 ~ 9 / L platelet 100 × 10 ~ 9 / L, reticulocyte 0.01, bone marrow hyperplasia was significantly active, the original small megakaryocyte accounted for 93.8%, the size of the cell body, round or oval, irregular edge, nuclear more common Distorted, folded, nuclear sprouting obvious, dual-core easy to see. Nuclear chromatin detail, some of the cells can be seen 1 to 2 less obvious nucleolus, the majority of cytoplasm irregular, bubble-shaped, prominent finger-like, blue or light blue, no particles, less