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急性白血病(AL)合并成人呼吸窘迫综合征(ARDS)国内报道不多。本文报道26例,并进行临床分析。 1 临床资料 1.1 一般资料:1983年1月～1997年3月,我院共收治AL1184例,合并ARDS26例占同期AL住院病人2.1％。在1184例中,急非淋788例,急淋376例,合并ARDS分别为21例和5例。急非淋合并ARDS发病率为2.7％明显高于急淋1.3％(P<0.01)。在26例AL合并的ARDS中,男18例,女8例,年龄16～74岁,平均40.5岁。有8例AL的白细胞>80×10~9/L于化疗前合并ARDS,4例AL于强烈化疗后的第2～5天合并ARDS,14例AL发生ARDS是在化疗第三个疗程以后骨髓严重抑制而继
Acute leukemia (AL) combined with adult respiratory distress syndrome (ARDS) reported few domestic. This article reports 26 cases, and clinical analysis. 1 Clinical data 1.1 General Information: January 1983 ~ March 1997, our hospital received a total of AL 1184 cases, combined ARDS26 cases accounted for AL patients in the same period 2.1%. Among 1184 cases, 788 cases were acutely inflamed, 376 cases were acutely infiltrated, and 21 cases were combined with 5 cases of ARDS. The incidence of acute lean non-lymphatic combined with ARDS was 2.7% significantly higher than acute leaching 1.3% (P <0.01). In 26 AL patients with ARDS, 18 males and 8 females, aged from 16 to 74 years, with an average of 40.5 years old. There were 8 cases of leukocytes of AL> 80 × 10 ~ 9 / L with ARDS before chemotherapy, 4 cases of AL with ARDS 2 ~ 5 days after intensive chemotherapy, 14 cases of AL with ALDS after the third course of chemotherapy Seriously suppressed