Studying result of marrow cell chromosome (short period incubation
method,48hr.):30 metakinesis
cells were examined by microscope,the number of chromosome was
2n=46.Abnomal clon and
caryogram could be seen with G chromosome banding
analysis.46,xx,i(119),(long are of
chromosome) enclosed picture of caryogram.
Shongjing:female,3 years and 5 months old.Camto hospital on Oct.14,1997.
was diagnosed as "acuk
mononuclear leukemia u5a".
Main Suit:look pale for one month, have a fever for 6 days.History of the
disease:look pale for one
month before coming to hospital but didn't pay attention to it.Then have a
fever for 6 days but no
clear reason before coming to the hospital.Temperature was 39~{!f~} with
abdominal pain and black
defecate.Took some antiphologistic,but have no obvious effect.Blood picture
showed hemoglobin was
low,and Marrow picture showed "marrow actively growth,pre-mononuclear cell
account of 96%".
Body examination:look pale,skin of body was pale, have no rash.Behind reght
ear,two sides of
neck,both armpit and both groin have several 0.5~{!A~}1cm3 lymph
glands.Smooth,pliable and
mobile.lung(~{R;~}).heart(~{R;~}).Below Xiphoidprocess and liver,pliable,edge is
sharp.no tenderness.
Supplementary examination.blood picture Hbg/L.
Wbe 8.0~{!A~}10E9/L, N 7%,L 63%,M 7%,pUt 76~{!A~}10E9/L
head CT(~{R;~}),electrocardiogram(~{R;~}),six items of B hepatitis(~{R;~}).
Treatment:Ara-c 100mg/m2-d intravenous drip.(the 1,2 days)
Ara-c 75mg/m2-times Bid (the 3,4,5,6,7,8 days)
DNR 40mg/m2-d (the 3,4,5 days)
Vm26 100mg/m2-times (the 6,7,8 days)
FAX:008610 62892956
E-mail: cuiying@mx.cei.gov.cn