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作者研究白血病误诊的原因,分析1980-1985年住院的白血病101例,急性白血病32例,慢性白血病69例,年龄15-72岁,男性43例,女性58例,急性髓细胞白血病17例,急性淋巴细胞白血病5例,急性红白血病2例,未分化型急性白血病8例。慢性髓细胞白血病39例,慢性淋巴细胞白血病29例,亚型白血病1例。急性白血病患者2/3在30岁以下,慢性白血病多半数在50岁以上。急性白血病第1次注入地区医院的原因是:咽喉痛、体温升高和头痛10例;鼻、龈出血,有时合并皮肤和粘膜小点状疹11例;贫血综合征7例;软组织化脓性病变4例。首先分别住在内科、传染科、耳鼻咽喉科和外科,诊断白血病转入血液病科者只5例。慢性白血病,第1次就诊前1-3月间发性衰弱并容易疲劳12例,体力负荷时右季肋部疼痛9例,右
The author studied the causes of misdiagnosis of leukemia, analyzed 101 cases of leukemia hospitalized in 1980-1985, 32 cases of acute leukemia, 69 cases of chronic leukemia, aged 15-72 years, 43 males and 58 females, 17 cases of acute myeloid leukemia, acute 5 cases of lymphocytic leukemia, 2 cases of acute erythroleukemia, 8 cases of undifferentiated acute leukemia. 39 cases of chronic myeloid leukemia, chronic lymphocytic leukemia in 29 cases, 1 case of subtype of leukemia. Two-thirds of patients with acute leukemia under the age of 30, most of chronic leukemia over 50 years of age. The first injection of acute leukemia into the district hospitals was caused by sore throat, fever and headache in 10 cases, nasal and gingival bleeding, and sometimes 11 cases of skin and mucosal punctate rash, anemia syndrome in 7 and soft tissue suppurative disease 4 cases. First of all were living in medicine, infectious diseases, otolaryngology and surgery, diagnosis of leukemia into hematology patients only 5 cases. Chronic leukemia, the first visit from January to March before the onset of weakness and fatigue in 12 cases, physical load right quarter rib pain in 9 cases, right