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1、TheteachertoldseedlingsinApril11ththirty-fourth:Secondsection:leukemiaacuteleukemiaAcuteleukemiaisagroupofmalignantdiseasesofhematopoieticsystem.Itsmainmanifestationsareabnormalproliferationofprimitivecells(leukemiccells)inthebonemarrowandinfiltrationo
2、fvarioustissuesandorganssoastoinhibitnormalhematopoiesis・Later,assoonastheprimitivecellsarementioned,theysayleukemiaTypingAcuteleukemiaisdividedintoacutelymphoblasticleukemia(ALL)andacutenonlymphocyticleukemia(ANLLfromthebonemarrow,alsoknownasacutemyel
3、ogenousleukemiaandacutegranulocyticleukemia)Acutelymphoblasticleukemiaisdividedinto8types,xueyexueyeMO(differentiationtype)Ml(acutemyeloidleukemiaundifferentiated)M2(acutemyeloidleukemia,partialdifferentiation)M3(acutepromyelocyticleukemia)isfoundinbon
4、e,andthatistypeM3M4(acutegranulocyticmonocyticleukemia)M5(acutemonocyticleukemia)ismainlymononuclearcellsM6(acuteerythroleukemia)M7(acutegiantcellleukemia)Two、clinicalmanifestationThethreeDepartmentofbloodcellleukemiadecreased,sotherearethreemajorclini
5、calmanifestations:infection一whitebloodcells(peripheralpathologicalwhitebloodcellsishigh,buttheabnormalfunctionofnormalwhitebloodcells,butless),-cellanemia,bleedingandthrombocytopenia・1.anemiafirstperformance,progressiveexacerbation2.fevercausedbyinfect
6、ionBleedingshouldberememberedhere:acutepromyelocyticleukemia(M3)ismostlikelytocauseDIC,orDICisthemostcommoncomplicationofM3(causeofdeath)・3.manifestationsofinvasionoforgansandtissues:Underthesternumtenderness,itreferstotheurgentparticle(ANLL)M4dndM5are
7、theeasiesttoinfiltrategumsandskin.Centralnervoussystemleukemia(acuteleukemiawithbrainproblems)ismorecommoninALLEyeproblems(onebyone):leukemia+brainproblems二centralnervoussystemleukemiaLeukemiaoccursintheliverandlymphnodes,andismorecommoninALLThree、labo
8、ratoryexamination1.,bonemarrowlikebonemarrowhyperplasiaisactive,andleukemiacellismorethan30%・TheAuercorpuscle(AObody)ispositivereferstotheurgentparticle(ANLL),thenegativeisurgent;thememory:Oreo;2.immunohistochemicalstainingofperoxidase(
