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。
标签： 常见症状与体征 肾内科基础知识 血液病主治医师 传染病学基础知识
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