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急性白血病并发中枢神经系统白血病,文献上屡有报告,但以中枢神经系统病变为首发症状的急性白血病尚少报道,我们曾遇4例,兹介绍如下: 例一、郭××,女性,26岁,住院号159900。以下肢麻痛,低热三个多月,视物模糊,听力减退月余,眼球凸出10天为主诉,于1978年11月30日入院。体检:神志清,表情呆滞,右眼球凸出。甲状腺无肿大,淋巴结无肿大。胸骨体有一个4×4cm肿物,质硬不能移动,轻压痛。双下肢感觉锐减,痛觉消失,右下肢活动受限。病理征(-)。化验:白细胞13,900/立方毫米,中性24％,淋巴16％,中幼粒细
Acute leukemia complicated by central nervous system leukemia, the literature has repeatedly been reported, but the first symptom of central nervous system disease is still little reported acute leukemia, we have encountered four cases, are as follows: Example 1, Guo XX, women, 26 Years old, hospital number 159900. The lower limbs pain, fever more than three months, blurred vision, hearing loss more than a month, the main protrusion of the eye for 10 days, on November 30, 1978 admission. Physical examination: delirious, dull expression, right eye bulge. Thyroid without swelling, no swelling of the lymph nodes. The sternum has a 4 × 4cm mass, which is hard and can not move, with mild tenderness. Feeling plump lower limbs, pain disappeared, right lower extremity activity is limited. Pathological sign (-). Laboratory tests: white blood cells 13,900 / cubic mm, 24% neutral, lymphatic 16%, young and fine