1病历报告患者,男,71岁,发病前3个月曾做过体检,未见异常。于2011年5月初因着凉后,周身不适,咳嗽,在诊所静滴阿奇霉素与三氮唑核苷(计量不详)数天后,症状缓解而停药。之后,自觉无力,进食欠佳。约1周后,再次出现咳嗽,并咳血痰。去省级医院会诊并做骨穿后,诊断为“急性淋巴细胞性白血病”。因患者高龄及经济困难未行骨髓移植及放、化疗,在 1 medical records of patients, male, 71 years old, before the onset of 3 months had done a physical examination, no abnormalities. Early in May 2011 due to cold, the whole body discomfort, cough, intravenous infusion of azithromycin and ribavirin in the clinic (unknown amount) a few days later, the symptoms were relieved and stopped. After that, consciously weak, poor eating. About 1 week later, cough again, and hemoptysis sputum. Go to the provincial hospital consultation and do bone wear, the diagnosis of “acute lymphoblastic leukemia.” In patients with advanced age and economic difficulties did not make bone marrow transplantation and radiotherapy and chemotherapy, in