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48例儿童急性淋巴细胞白血病的临床分析

, PP. 168-170

Keywords: 儿童,急性淋巴细胞白血病,临床表现,诊断

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Abstract:

为了解儿童急性淋巴细胞白血病(ALL)的临床特点与诊断和治疗的关系,对48例儿童ALL的临床特征、实验室检查进行回顾性分析。结果,48例儿童起病时临床表现各不相同且不典型,其中16例曾被误诊为贫血(33.3%),10例曾被误诊为关节炎(20.8%);48例均做免疫分型,其中T-ALL10例(20.8%),伴有髓系抗原表达3例(6.3%),B-ALL31例(64.6%),伴有髓系抗原表达11例(22.9%);4例形态学诊断为ALL而免疫学检查CD13、CD15阳性,按ALL治疗效果差。染色体异常6例。认为早期表现不典型易误诊;免疫学诊断是金标准。更多还原

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