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患者,男,63岁,因面色苍白、乏力、消瘦3个月而入院。体检呈中度贫血貌,舌呈镜面舌,余无异常发现。实验室检查:WBC2.6×109/L,HB68g/L,RBC1.54×1012/L,MCV138.2fl,MCH44.2pg,MCHC0.342,PLT41×109/L,Ret1.8%,HCT0.21,成熟红细胞个体偏大,血涂片如图。铁蛋白572.6μg/L,VitB12为O,叶酸5.5pg/L。骨髓:增生活跃,M/E为2.1/1,粒系40%,见核右移现象,有较多中毒颗粒,可见巨杆状核粒细胞,红系19%,可见类巨幼变幼红细胞。巨核细胞全片见3个,余未见异常。其他辅助检查均未有异常发现。试分析该病例。
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