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本文分析了我院1949年～1983年139名成人急性白血病死亡病例,首发症状以发热最多(62.5％),以急性早幼粒出血征象最高(62.5％)。有63例临床死因为颅内出血,神经系统表现以意识不清最多见,其次为抽搐,瞳孔不等大、病理反射等。本组病例时间分布历时较长分组对比表明随化疗方案的改变病人的生存期有所延长。本文还对颅内出血的原因、中枢神经受累的情况及治疗作了简要的讨论。
This article analyzes the 139 cases of acute leukemia deaths in our hospital from 1949 to 1983, the first symptom of fever to the highest (62.5%), the highest signs of acute promyelocytic bleeding (62.5%). There are 63 cases of clinical death due to intracranial hemorrhage, the most prominent nervous system manifestations of confusion, followed by convulsions, ranging from pupil, pathological reflex. This group of patients with longer time-lapse group comparison shows that with the chemotherapy program to change the patient’s survival has been extended. This article also on the causes of intracranial hemorrhage, central nervous system involvement and treatment of a brief discussion.