(63〜65题共用题干）男性，19岁。高热2周应用抗生素治疗无效。胸骨压痛明显，肝脾肋下未触及。人院次日起出现皮肤多处片状瘀斑、血尿，肌内注射局部渗血不止，血压12/8kPa。WBC3.6X10VL，HGB51g/L,PLT4X109/L.骨髓检查：有核细胞增生极度活跃，细胞质颗粒粗大的早幼粒细胞占82%。本例的诊断是

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