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我们于1985年6月收治骨髓坏死一例并经 HOAP 化疗方案治疗,缓解已一年,现报道如下:病历摘要麻××,女,39岁。住院号:10009号。近一周来无明显诱因寒战、高热,达39℃以上。且伴有右下腹痛、血便及月经量过多。三天来感背部及右髂骨痛,同时发现注射部位及右下肢胫骨前出现紫色淤斑而急诊入院。查体:T39.2,P102,BP90/700。精神不振,贫血貌。肘窝、臂部注射部位及右胫骨前可见散在片状淤斑约3×2cm。口颊粘膜有多处溃疡,扁桃体Ⅱ°肿大且附有脓苔。
We have a case of bone marrow necrosis was admitted in June 1985 and treated with HOAP chemotherapy regimen, has been relieved for one year, are reported as follows: Medical summary Ma × ×, female, 39 years old. Hospital number: 10009. Nearly a week to no obvious incentive chills, high fever, up to 39 ℃ above. Accompanied by right lower quadrant pain, bloody stool and excessive menstrual flow. Three days to feel the back and right iliac pain, at the same time found the injection site and the right lower extremity tibia purple ecchymosis and emergency admission. Physical examination: T39.2, P102, BP90 / 700. Unresponsive, anemic appearance. Elbow fossa, the injection site and the right arm of the right tibia scattered plaque about 3 × 2cm. Buccal mucosa has multiple ulcers, tonsil enlargement Ⅱ with pus moss.