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目的:进一步提高小儿AL的早期诊断率。方法:回顾性总结1998年1月—2003年12月我院新诊断小儿AL,从中找出误诊病例,分析其误诊原因。结果:136例小儿AL误诊24例,误诊率17.65 %。对小儿AL知识的缺乏、不重视骨髓检查是误诊的主要原因。结论:充分认识小儿AL临床表现的多样化,及早骨髓检查,是避免误诊的有效措施。
Objective: To further improve the early diagnosis of AL in children. Methods: A retrospective summary of January 1998 -2003 in December in our hospital newly diagnosed children with AL, from which to identify misdiagnosed cases, analysis of the causes of misdiagnosis. Results: There were 24 cases misdiagnosed in AL in 136 cases, the rate of misdiagnosis was 17.65%. Lack of knowledge of children with AL, do not attach importance to bone marrow examination is the main reason for misdiagnosis. Conclusion: To fully understand the diversity of AL clinical manifestations in children, early bone marrow examination is an effective measure to avoid misdiagnosis.