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近年来对于白血病的研究已有很大的进展,白血病的缓解率已有明显的提高,典型的白血病诊断不难,对非典型白血病往往造成误诊,误治.笔者结合临床资料及有关文献,对急性白血病非典型临床症状与其几个有关问题作如下讨论. 一、以肾炎、耳聋、双目失明为临床表现者例:男,17岁,因全身浮肿、耳聋、双目失明1个月于1984年10月3日入院,无发热鼻衄、尿少及肉眼血尿.查体:体温36.5℃,血压130/80,全身浮肿,尤以面部为甚,浅表淋巴结中等度肿大,结膜轻度充血,眼球突出,瞳孔等大正圆,视力仅有光感,听力消失.两肺有干性罗音,心脏无异常,
In recent years, great progress has been made in the research of leukemia, the leukemia remission rate has been significantly improved, the typical diagnosis of leukemia is not difficult, often caused misdiagnosis and misdiagnosis of atypical leukemia.Combined with clinical data and relevant literature, the author of First, to nephritis, deafness, blindness as the clinical manifestations of cases: male, 17 years old, due to systemic edema, deafness, blindness for 1 month in 1984 In October 3, admitted to hospital on March 3, no fever epistaxis, oliguria and gross hematuria.Check the body: body temperature 36.5 ℃, blood pressure 130/80, systemic edema, especially in the face is even, moderately enlarged superficial lymph nodes, conjunctival mild Hyperemia, prominent eyes, pupils and other large round, eyesight only sense of light, hearing loss.Lands have dry rales, no abnormal heart,