1　病例介绍1.1　例1,女,38岁。阴道流血不止10d,伴头昏乏力及下肢浮肿,曾在4家医院妇科以“功能性子宫出血”治疗无好转。1990年9月18日收住妇科。查血发现幼稚细胞,疑为AL,第3天转我科。追问病史在阴道出血20d前有牙龈出血、低热等。查体:重贫血貌,浅淋巴结不大,皮肤无瘀斑, 1 case introduction 1.1 cases 1, female, 38 years old. Vaginal bleeding more than 10d, with dizziness and lower extremity edema, gynecology in 4 hospitals to “functional uterine bleeding” no improvement in treatment. September 18, 1990 received gynecology. Check the blood found naive cells, suspected AL, the first 3 days to my department. History of the history of bleeding in the vagina 20d bleeding gums, fever and so on. Examination: heavy anemia appearance, small lymph nodes, skin ecchymosis,