首页/ 题库 / [单选题]男性,33岁,乏力、低热、消瘦1年。脾脏的答案

男性,33岁,乏力、低热、消瘦1年。脾脏肋下10cm,血Hb80g/L,WBC86×109/L,血小板24×109/L,骨髓中原始细胞占15%,Ph染色体阳性。可能的诊断是()

单选题
2021-12-27 12:09
A、慢性粒细胞性白血病慢性期
B、慢性粒细胞性白血病加速期
C、慢性粒细胞性白血病急变期
D、骨髓异常增生综合征的RAEB-T型
E、类白血病反应
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正确答案
B

试题解析
该例患者脾大,白细胞明显升高和Ph染色体阳性,因而诊断慢性粒细胞性白血病肯定,但已有较明显的贫血和血小板减少,骨髓中原始细胞已>10%,但仍<30%,为加速期。

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