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CLL 50岁慢淋,暂未积极治疗,新人报到,请多关照,^-^ [复制链接]

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发表于 2010-1-26 21:54:07 |显示全部楼层
<p>在置顶的那个慢淋的帖子中介绍过,第一页中就有。</p>
博学而后成医   厚德而后为医   谨慎而后行医〔建议咨询者看看“发咨询帖子须知”等置顶的帖子〕(我在这里可以帮助经治医生就诊疗问题做一些解释工作,但是不可能替代经治医生,没法回答详细诊疗方案)

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发表于 2010-2-14 22:48:27 |显示全部楼层
<p>真诚感谢战士无私付出那么多,感谢战士的家人给予的支持和理解,希望战士能向家人转达我们的感谢和祝福!</p>
<p>&nbsp;</p>
<p>因为战士的帮助,是我成为一个从容的病人,坦然面对慢淋,因为战士不厌其烦详尽解答,少了许多迷茫和忧虑,多了几分与疾病作战的勇气!</p>
<p>&nbsp;</p>
<p>接受你帮助那么多,却无以回报,只好在这里致谢致敬,送上祝福啦!</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>恭祝战士虎年吉祥新年好,合家安康快乐多!</p>
女,1960年生,09年7月中确诊CLL,白细胞3万; 2010年3月,白细胞5万,11月白细胞7.8万;201106,白细胞8.3万;201207,白细胞10万,轻度贫血,血小板正常值下限。CD38 7.27%阴性,ZAP70表达阴性;IgHV检测:有突变,IgHV 2-5*0.5,符合率91.1%。

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发表于 2010-3-20 20:57:25 |显示全部楼层
<table style="WIDTH: 403pt; BORDER-COLLAPSE: collapse" cellspacing="0" cellpadding="0" width="536" border="0" x:str>
<colgroup>
<col style="WIDTH: 106pt; mso-width-source: userset; mso-width-alt: 4512" width="141">
<col style="WIDTH: 65pt; mso-width-source: userset; mso-width-alt: 2752" width="86">
<col style="WIDTH: 75pt; mso-width-source: userset; mso-width-alt: 3200" width="100">
<col style="WIDTH: 80pt; mso-width-source: userset; mso-width-alt: 3392" width="106">
<col style="WIDTH: 77pt; mso-width-source: userset; mso-width-alt: 3296" width="103">
<tbody>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" style="WIDTH: 106pt; HEIGHT: 14.25pt" width="141" height="19">日期</td>
<td class="xl24" align="right" width="86" x:num 65pt? WIDTH: none; medium?>20090716</td>
<td class="xl24" align="right" width="100" x:num WIDTH: none; medium? 75pt?>20091105</td>
<td class="xl24" align="right" width="106" x:num WIDTH: none; medium? 80pt?>
<div style="WORD-WRAP: break-word">20091224</div></td>
<td class="xl24" align="right" width="103" x:num WIDTH: none; medium? 77pt?>20100305</td></tr>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" height="19" none; medium? 14.25pt? HEIGHT:>
<div style="WORD-WRAP: break-word">白细胞计数</div></td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>32.7</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>42.2</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>41.5</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>51</td></tr>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" height="19" none; medium? 14.25pt? HEIGHT:>中性粒细胞百分数</td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>9.2</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>10.3</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>7.7</td></tr>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" height="19" none; medium? 14.25pt? HEIGHT:>淋巴细胞百分数</td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>89.6</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>87.3</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>91.7</td></tr>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" height="19" none; medium? 14.25pt? HEIGHT:>中性粒细胞绝对数</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>15.1</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>3.46</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>4.27</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>3.93</td></tr>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" height="19" none; medium? 14.25pt? HEIGHT:>淋巴细胞绝对数</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>16</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>37.81</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>36.23</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>46.77</td></tr>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" height="19" none; medium? 14.25pt? HEIGHT:></td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td></tr>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" height="19" none; medium? 14.25pt? HEIGHT:>血红蛋白</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>124</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>124</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>124</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>124</td></tr>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" height="19" none; medium? 14.25pt? HEIGHT:>血小板计数</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>153</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>154</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>172</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>136</td></tr>
<tr style="HEIGHT: 15pt" height="20">
<td class="xl25" height="20" none; medium? HEIGHT: 15pt?></td>
<td class="xl25" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td></tr>
<tr style="HEIGHT: 15pt" height="20">
<td class="xl24" height="20" none; medium? HEIGHT: 15pt?>中性分叶核</td>
<td class="xl25" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>10</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>7</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>5</td></tr>
<tr style="HEIGHT: 15pt" height="20">
<td class="xl24" height="20" none; medium? HEIGHT: 15pt?>淋巴细胞</td>
<td class="xl25" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>89</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>91</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>93</td></tr>
<tr style="HEIGHT: 15pt" height="20">
<td class="xl24" height="20" none; medium? HEIGHT: 15pt?>单核细胞
<div></div></td>
<td class="xl25" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>1</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>2</td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>1</td></tr>
<tr style="HEIGHT: 14.25pt" height="19">
<td class="xl24" height="19" none; medium? 14.25pt? HEIGHT:>嗜酸细胞</td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" none; medium? none? medium="medium" BORDER-LEFT:> </td>
<td class="xl24" align="right" x:num none; medium? none? medium="medium" BORDER-LEFT:>1</td></tr></tbody></table>
<p>================================</p>
<p>&nbsp;</p>
<p>战士好,我最近一次血常规3月5日做的,白细胞升至5.1万了,从上面的数据看,是否应该用瘤可然了呢?</p>
<p>&nbsp;</p>
<p>从去年6月体检发现慢淋至今,尚未采用西医治疗,在09年10月末到现在在浙江省中医院看中医血液科罗秀素医师,服用煎药,但似乎对白细胞控制效果不太好,我的医生也建议可以先用瘤可然试试,您认为是时候了吗?</p>
<p>&nbsp;</p>
<p>以下是我去年看病时各家医院专家给的建议:</p>
<p>1、暂不治疗,定期观察(杭州邵逸夫医院)</p>
<p>2、定期观察,可用干扰素(浙一医院)</p>
<p>3、口服瘤可宁(委托咨询北京海军总医院)</p>
<p>4、氟达拉滨+CTX治疗(瑞金医院)</p>
<p>&nbsp;</p>
<p>我个人倾向,如果需要西医治疗先用瘤可然试试,尽管瑞金医院建议我直接用氟达拉滨+CTX治疗,沈教授认为既然有氟达拉滨了,就不必用瘤可然了,您认为如何呢?</p>
<p>&nbsp;</p>
<p>感谢!</p>
女,1960年生,09年7月中确诊CLL,白细胞3万; 2010年3月,白细胞5万,11月白细胞7.8万;201106,白细胞8.3万;201207,白细胞10万,轻度贫血,血小板正常值下限。CD38 7.27%阴性,ZAP70表达阴性;IgHV检测:有突变,IgHV 2-5*0.5,符合率91.1%。

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发表于 2010-3-20 23:05:55 |显示全部楼层
<p>记得你一开始没有做全面的预后评估,也就是说没有做预后相关的指标的全面检查,譬如染色体核型、IgVH基因突变等。以目前的病情变化,淋巴细胞计数比半年多增长了3倍左右,提示病情进展中,需要治疗,可以采用留可然,干扰素的疗效不如留可然肯定,但是也可以考虑,如果沈志祥真是这么说,我不赞同。</p>
<p>&nbsp;</p>
<p>中药治疗慢淋,确实没有听说有明确疗效的,只能说可以一试。</p>
博学而后成医   厚德而后为医   谨慎而后行医〔建议咨询者看看“发咨询帖子须知”等置顶的帖子〕(我在这里可以帮助经治医生就诊疗问题做一些解释工作,但是不可能替代经治医生,没法回答详细诊疗方案)

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发表于 2010-5-11 13:32:14 |显示全部楼层
<p>苯达莫司汀治疗慢性淋巴细胞白血病临床研究受试者招募 </p><br/>
<p>我院现开展一项国家三类新药——注射用盐酸苯达莫司汀治疗慢性淋巴细胞白血病(CLL)的临床研究,具体背景介绍如下:</p><br/>
<p>慢性淋巴细胞白血病(CLL)是一种老年人常见的白血病,该病的病程常因人而异,生存时间可以从少于3年到长至终身。近10年来,对CLL的研究取得了很多进展,治疗效果有了较大改善,但CLL仍属于难以治愈的疾病。<br/></p>
<p>注射用盐酸苯达莫司汀于2008年3月在美国上市,被批准用于治疗慢性淋巴细胞白血病的一线用药,2008年美国国家癌症综合网络(NCCN)推荐盐酸苯达莫司汀单独使用作为治疗慢性淋巴细胞白血病的规范性治疗手段。而在德国,该药可应用于慢性淋巴细胞白血病、淋巴瘤及多发性骨髓瘤的一线治疗,已经积累了大量的用药经验,取得了满意的疗效。而在我国由于市场上缺乏该药,广大患者还没有机会接受这一新药的治疗。现由国内研发生产的国家三类新药注射用盐酸苯达莫司汀已经由国家食品药品监督管理局批准,现正式用于临床试验研究,为我国慢淋患者提供了新的治疗选择。</p><br/>
<p>本项研究的主要目的是评价盐酸苯达莫司汀对中国慢性淋巴细胞白血病患者的有效性和安全性,并与传统的苯丁酸氮芥(瘤可宁)进行对比。符合条件的参加者将随机被分配到苯达莫司汀组或苯丁酸氮芥组。如果参加本项研究,不仅不会损失任何个人合法权益,而且还将获得由申办单位免费提供的研究药物,且治疗期间的检查也将免费。</p><br/>
<p>需满足以下条件的患者才可能被入选:</p>
<p>l&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 年龄18~75岁;&nbsp; 经检查确诊为慢性淋巴细胞白血病(CLL);</p>
<p>l&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 之前未接受过抗CLL的治疗;</p>
<p>l&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 无严重脏器功能障碍;</p>
<p>l&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 具备理解并自愿签署知情同意书的能力;</p>
<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 中国医学科学院血液病医院</p>
<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2010年3月10日</p>
<p>========================</p>
<p>&nbsp;</p>
<p>请教战士,对于盐酸苯达莫司汀治疗慢淋的情况如何?以上是转贴过来的资料,可以介绍一下临床试验吗?</p>
<p>谢谢!</p>
女,1960年生,09年7月中确诊CLL,白细胞3万; 2010年3月,白细胞5万,11月白细胞7.8万;201106,白细胞8.3万;201207,白细胞10万,轻度贫血,血小板正常值下限。CD38 7.27%阴性,ZAP70表达阴性;IgHV检测:有突变,IgHV 2-5*0.5,符合率91.1%。

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发表于 2010-5-11 22:25:17 |显示全部楼层
<p>我还不知道这个药国内已经有“仿制”(不知道这样说是否妥当)的了,可能是过了专利期了。此药其实是老药,传说是前东德的科学家研制的,东西德统一后不知道什么原因被遗忘了很长一段时间。据国外的临床试验结果证实,治疗慢淋确实效果不错,但好像没有说比氟达拉滨等药有疗效优势,但至少可以在氟达拉滨效果不佳或者不适合使用氟达拉滨的病人,可以考虑此药,当然这个药有一个优势,就是用药很方便,可以不需要住院(有其他需要住院的情况另说),而且副作用好像比氟达拉滨小。国内已经有一些病人从非正规渠道购买国外的药品进行尝试。国内的制剂如果能上市,估计价格不低。</p>
博学而后成医   厚德而后为医   谨慎而后行医〔建议咨询者看看“发咨询帖子须知”等置顶的帖子〕(我在这里可以帮助经治医生就诊疗问题做一些解释工作,但是不可能替代经治医生,没法回答详细诊疗方案)

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发表于 2010-5-11 23:18:35 |显示全部楼层
<p>嗯,谢谢战士,关注,据了解上海/北京/广州/杭州等15家三甲医院有这项试验</p>
<p>&nbsp;</p>
<p>希望战士也能帮助提供更多的信息,还有那个港大的砒霜治疗白血病的药,今年3月份看到过报道,不知对慢淋是否有用呢?</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>谢谢!总是在期待医学进步,给我们带来好消息:)</p>
女,1960年生,09年7月中确诊CLL,白细胞3万; 2010年3月,白细胞5万,11月白细胞7.8万;201106,白细胞8.3万;201207,白细胞10万,轻度贫血,血小板正常值下限。CD38 7.27%阴性,ZAP70表达阴性;IgHV检测:有突变,IgHV 2-5*0.5,符合率91.1%。

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发表于 2010-5-13 00:00:50 |显示全部楼层
<p>这个药的优势是可以口服,大陆有注射用的亚砷酸,还有一些口服的中成药,用不着去香港买这个药,据说特贵。</p>
<p>再说,这个药治疗慢淋目前还没有看到研究结果,推测应该效果不大。</p>
博学而后成医   厚德而后为医   谨慎而后行医〔建议咨询者看看“发咨询帖子须知”等置顶的帖子〕(我在这里可以帮助经治医生就诊疗问题做一些解释工作,但是不可能替代经治医生,没法回答详细诊疗方案)

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发表于 2010-7-31 21:58:17 |显示全部楼层
<p>&nbsp;
<table style="WIDTH: 359pt; BORDER-COLLAPSE: collapse" cellspacing="0" cellpadding="0" width="477" border="0" x:str>
<colgroup>
<col style="WIDTH: 103pt; mso-width-source: userset; mso-width-alt: 4384" width="137">
<col style="WIDTH: 64pt; mso-width-source: userset; mso-width-alt: 2720" span="4" width="85">
<tbody>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl24" style="WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">日期</td>
<td class="xl24" style="BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>20090619</td>
<td class="xl24" style="BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>20090716</td>
<td class="xl24" style="BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>20091105</td>
<td class="xl24" style="BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>20091224</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">白细胞计数</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>21.6</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>32.7</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>42.2</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>41.5</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">中性粒细胞百分数</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>10.43</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>9.2</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>10.3</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">淋巴细胞百分数</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>87.49</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>89.6</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>87.3</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">中性粒细胞绝对数</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>3.1</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>3.46</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>4.27</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">淋巴细胞绝对数</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>18.7</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>26.1</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>37.81</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>36.23</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">血红蛋白</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>125</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>124</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>124</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>124</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">血小板计数</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>100</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>153</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>154</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>172</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl26" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25"> </td>
<td class="xl26" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl26" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl26" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">中性分叶核</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl26" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl26" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>10</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>7</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">淋巴细胞</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl26" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl26" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>89</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>91</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">单核细胞</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl26" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl26" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>1</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" align="right" width="85" x:num>2</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" style="BORDER-TOP: medium="medium"  none; WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">嗜酸细胞</td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td>
<td class="xl25" style="BORDER-TOP: medium="medium"  none; BORDER-LEFT: medium="medium"  none; WIDTH: 64pt" width="85"> </td></tr></tbody></table></p>
<p>&nbsp;</p>
女,1960年生,09年7月中确诊CLL,白细胞3万; 2010年3月,白细胞5万,11月白细胞7.8万;201106,白细胞8.3万;201207,白细胞10万,轻度贫血,血小板正常值下限。CD38 7.27%阴性,ZAP70表达阴性;IgHV检测:有突变,IgHV 2-5*0.5,符合率91.1%。

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发表于 2010-7-31 21:58:33 |显示全部楼层
<table style="WIDTH: 359pt; BORDER-COLLAPSE: collapse" cellspacing="0" cellpadding="0" width="477" border="0" x:str>
<tbody>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl24" style="WIDTH: 103pt; HEIGHT: 18.95pt" width="137" height="25">日期</td>
<td class="xl24" align="right" width="85" x:num 64pt? WIDTH: none; medium?>20100305</td>
<td class="xl24" align="right" width="85" x:num 64pt? WIDTH: none; medium?>20100624</td>
<td class="xl24" align="right" width="85" x:num 64pt? WIDTH: none; medium?>20100706</td>
<td class="xl24" align="right" width="85" x:num 64pt? WIDTH: none; medium?>20100727</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>白细胞计数</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>51</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>65.8</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>58.4</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>71.8</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>中性粒细胞百分数</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>7.7</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>5.4</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>6.2</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>26.4</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>淋巴细胞百分数</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>91.7</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>93.9</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>87.8</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>61.6</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>中性粒细胞绝对数</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>3.93</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>3.55</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>3.5</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>19</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>淋巴细胞绝对数</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>46.77</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>61.79</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>51.3</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>44.2</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>血红蛋白</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>124</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>120</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>114</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>114</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>血小板计数</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>136</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>130</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>118</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>133</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl26" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>中性分叶核</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>5</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>5</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>12</td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>淋巴细胞</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>93</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>94</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>88</td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>单核细胞</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>1</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>1</td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>9.8</td></tr>
<tr style="HEIGHT: 18.95pt; mso-height-source: userset" height="25">
<td class="xl25" width="137" height="25" WIDTH: none; medium? 18.95pt? HEIGHT: 103pt;>嗜酸细胞</td>
<td class="xl25" align="right" width="85" x:num 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:>1</td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td>
<td class="xl25" width="85" 64pt? WIDTH: none; medium? medium="medium" BORDER-LEFT:> </td></tr></tbody></table>
<p>===========================</p>
<p>&nbsp;</p>
<p><b>2010-07-06&nbsp; </b><b>体检</b></p>
<p>1、肝胆脾胰未见明显异常</p>
<p>&nbsp;</p>
<p>2、肝功能报告异常数据</p>
<p>球蛋白&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 20(25.0——35g/l)偏低</p>
<p>白球比例&nbsp;&nbsp;&nbsp; 2.28(1.1——2.0)偏高</p>
<p>&nbsp; </p>
<p>3、颈部淋巴结边界清,类似淋巴结回声,左侧大者2.1cm*0.7cm;右侧大者1.6cm*0.6cm</p>
<p>4、腋下淋巴结边界清,内部结构不清,左侧大者2.2cm*1.0cm;右侧大者1.8cm*0.7cm&nbsp;</p>
女,1960年生,09年7月中确诊CLL,白细胞3万; 2010年3月,白细胞5万,11月白细胞7.8万;201106,白细胞8.3万;201207,白细胞10万,轻度贫血,血小板正常值下限。CD38 7.27%阴性,ZAP70表达阴性;IgHV检测:有突变,IgHV 2-5*0.5,符合率91.1%。
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