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原发性血小板增多症后多发性骨髓瘤IgA-κ轻链型一例 被引量:2

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摘要 患者女,维吾尔族,54岁.因"全身乏力半年"于2008年5月就诊.血常规:WBC 9.4x10^9/L,RBC 5.3x1012/L,Hb 132 g/L,PLT 1 048x109/L;肝肾功能、电解质、球蛋白正常;骨髓涂片提示巨核细胞数目多、功能好、可见大片血小板聚集;JAK2基因V617F突变阳性;bcr-abl融合基因阴性;染色体:46,XX[20].诊断为原发性血小板增多症(essential thrombocythemia,ET),给予血小板单采及干扰素、羟基脲治疗,阿司匹林抗血小板聚集,血小板最低降至约500x109/L.
出处 《中华内科杂志》 CAS CSCD 北大核心 2017年第9期683-684,共2页 Chinese Journal of Internal Medicine
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