课件：急性白血病病例报告.ppt

Acute Leukemia,097805 郑志博,Case:,A male patient, 40 Years old, has associated with bleeding tendency for 10 days. He came to our department for diagnosis.,Case:,He had fever without obvious cause 10 days ago, 38.2, body aches, mild cough, a little white sputum, also found gums bleeding when brushing teeth, had abnormal blood test at local clinic (unclear). Anti-cold medicine without effort, poor sleep, urine and stool are normal, no obvious change in body weight,History record,Health, no history of tuberculosis (TB), no history of drug allergy. Not addicted to alcohol, tobacco, no similar family medical history,Physical examnation,T38.2，HR 98 per/min，RR 20 per/min，BP120/80mmHg Showed acute hot ill face, chest and lower limb skin had scattered bleeder, superficial lymph node untouched, sclera without stained yellow, pharyngeal hyperemia (+), tonsils(-). Sternal press pain, lung percussion naormal, right lung lower lobe had moist rales, abdomen flat soft, liver and spleen untouched under the rib, lower limbs are not swollen,Laboratory tests,Hb 95g/L，Ret 0.5%，WBC 3.8109/L，Blasts 48%，PLT 30109/L；urine (-), stool (-),Question,(1) This case what is the most likely diagnosis? Diagnosis is based on what? (2) Describe the diseases with which cases should be identified? (3)What other tests should be used? (4) Describe the treatment of this case.,Answers,(1) diagnosis: Acute leukemia. Diagnosis is based on: fever, anemia, ，Blasts 48% 20%，PLT 30109/L 60109/L,(2) This case need to identified with MDS, AA, ITP, IM, leukemoid reaction.,(3)cytochemistry Immunological test, chromosome examination,(4)This case treatment measures include: general treatment Chemical therapy: ALL: DV therapy, AML: DA, HA, HOAP therapy Bone marrow transplantation Supportive therapy: Prevent infection, correction anemia, control hemorrhage and maintain nutrition.,Thank you for listening.,后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 资料仅供参考，实际情况实际分析,感谢您的观看和下载,The user can demonstrate on