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近23年我们诊断急性粒细胞减少症与缺乏症66例。男28例,女38例。药物诱发41例,感染、败血症4例。全部病人均发热,咽痛60%,颈及颌下淋巴结肿痛28%,口腔坏死、节段性肺炎各1例。白细胞0.3~3.8×10~9/L,中性粒细胞绝对值0~1.28×10~9/L,6例外周血见幼稚细胞。骨髓增生活跃61例,低下5例,均有粒系改变。解热镇痛药诱发24例中服1~6片13例、7~20片5例、两种制剂以上6例。粒细胞绝对值分别为0~0.315
In the past 23 years, we diagnosed 66 cases of acute granulocytopenia and deficiency. 28 males and 38 females. Drug-induced 41 cases, infection, sepsis in 4 cases. All patients were fever, sore throat 60%, neck and submandibular lymph node swelling 28%, oral necrosis, segmental pneumonia in 1 case. Leukocytes 0.3 ~ 3.8 × 10 ~ 9 / L, the absolute value of neutrophils 0 ~ 1.28 × 10 ~ 9 / L, 6 cases of peripheral blood see immature cells. Bone marrow hyperplasia was active in 61 cases, low in 5 cases, all have changes in myeloid. Antipyretics and analgesics induced 24 cases of service 1 to 6 in 13 cases, 7 to 20 in 5 cases, more than two preparations in 6 cases. Absolute granulocytes were 0 ~ 0.315