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目的探讨小儿白血病合并回盲肠综合征的临床特点、诊断及治疗。方法对2005年2月-2009年10月间4例小儿白血病合并回盲肠综合征的临床症状、体征及辅助检查进行回顾性分析。结果在小儿白血病的治疗过程中,可出现回盲肠综合征。临床表现为腹痛、腹胀及腹泻等;查体可见腹肌紧张,右下腹压痛,或有反跳痛等;血常规中白细胞减少,尤其中性粒白细胞显著下降;给予抗感染,静脉营养,丙种球蛋白增强机体抵抗力,输浓缩红细胞及血小板支持治疗,可以收到较好的治疗效果。若保守治疗症状得不到缓解,或病情加重,可行手术治疗。结论回盲肠综合征是小儿白血病治疗过程的合并症,其临床表现复杂,体征缺乏特异性,根据不同的病情采用相应的治疗方法可收到良好的临床效果。
Objective To investigate the clinical features, diagnosis and treatment of childhood leukemia complicated with cecum syndrome. Methods The clinical symptoms, signs and auxiliary examinations of 4 cases of childhood leukemia with ileocecal syndrome were retrospectively analyzed from February 2005 to October 2009. Results in the treatment of childhood leukemia, there may be ileocecal syndrome. Clinical manifestations of abdominal pain, abdominal distension and diarrhea; physical examination showed abdominal muscle tension, right lower quadrant tenderness, or rebound tenderness; blood routine leukopenia, especially neutrophils decreased significantly; given anti-infective, intravenous nutrition, Globulin enhances the body’s resistance, transfusion of red blood cells and platelet support treatment, you can receive better treatment. If conservative treatment of symptoms can not be alleviated, or exacerbations, feasible surgical treatment. Conclusions Ileal cecum syndrome is a complication of pediatric leukemia treatment. The clinical manifestations are complicated and the signs are not specific. According to the different conditions, the appropriate treatment can receive good clinical results.