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白血病在诱导化疗期并发血糖增高多为暂时性。持续增高者,迄今国内共报告11例。最近我们遇到两例。王某,男,47岁。1986年9月以慢粒急变缓解后复发再次住院联合化疗。于入院后63天发现血糖增高(156—288mg),尿糖阳性(微量—++),尿酮(±)。无三多症状,左上腹有压痛。未用过门冬酰胺酶。发现糖尿病前服强的松1550mg,静脉滴注地塞米松60mg,治疗无效,以肺部感染病故。姚某,女,28岁,初治病例。1986年10月经骨髓检查诊断急淋L_2型。于入院后60天
Leukemia in the induction chemotherapy complicated by increased blood sugar mostly temporary. So far, 11 cases have been reported in China so far. Recently we encountered two cases. Wang, male, 47 years old. In September 1986, CML was re-admitted after recurrent acute myxoid mutated. 63 days after admission found that elevated blood sugar (156-288mg), urine positive (trace - +), urinary ketone (±). No more than three symptoms, left upper quadrant tenderness. Asparaginase has not been used. Prednisone found prednisone 1550mg, intravenous infusion of dexamethasone 60mg, ineffective treatment to the lungs infected. Yao Mou, female, 28 years old, initial treatment cases. October 1986 diagnosis of acute lymphoblastic L_2 by bone marrow examination. 60 days after admission