慢粒急性嗜碱粒细胞变并发性骨髓坏死、脑脂肪栓塞少有报道,本院收治1例,报告如下:1 病历摘要 患者,男,40岁,农民。因腹胀、双下肢浮肿、乏力月余于1988年11月26日首次入院。T36.4℃,贫血貌,皮肤无黄染和出血,浅表淋巴结不肿大,胸骨压痛(+),肝肋下4.0cm,剑下6.0cm,脾肋下8.0cm,双下肢呈凹陷性浮肿。WBC267×10~9/L,分类早幼粒0.03,中幼粒O.09,晚幼粒0.34,杆状核0.29,分叶核0.17,淋巴0.01,嗜酸粒0.04,嗜碱粒0.03,Hb85g/L,BPC226×10~9/L。骨髓:增生极度活 Acute basophil granulomatous complicated by bone marrow necrosis, cerebral fat embolism rarely reported in our hospital were treated in 1 case, the report is as follows: 1 case summary of patients, male, 40 years old, farmer. Due to bloating, lower extremity edema, fatigue, more than in November 26, 1988 for the first time admitted to hospital. T36.4 ℃, anemia appearance, no yellow skin and bleeding, superficial lymph nodes, sternal tenderness (+), hepatic ribs under 4.0cm, swords under 6.0cm, splenic ribs under 8.0cm, both lower extremities were depressed edema. WBC267 × 10 ~ 9 / L, classification of promyelocytes 0.03, juvenile grains O.09, late promyelocytes 0.34, rod nucleus 0.29, lobular 0.17, lymph 0.01, eosinophil 0.04, basal 0.03, Hb85g / L, BPC226 × 10 ~ 9 / L. Bone marrow: hyperplasia extremely live