患者，男，19岁。因发热就诊，血常规示白细胞70x109/L,大量幼稚细胞，骨髄象提示有核细胞增生活跃，原始细胞占35%，患者表现为壮热，口渴多汗，烦躁，头痛面赤，身痛，口舌生疮，咽喉肿痛,面颊肿胀疼痛，便秘尿赤，牙龈出血，舌质红绛，苔黄，脉大。该患者最可能的诊断是

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