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白血病是造血组织的恶性肿瘤,白血病细胞对全身各组织器官有广泛浸润,故存在复杂的临床表现,容易造成误诊。为了总结经验,现将我院1976年5月～1986年5月间资料完整,并经骨髓穿刺涂片检查确诊为白血病的211例(男142;女69)予以整理。211例白血病患者中初诊时误为非白血病患者75例,误诊率为35.54％。入院拟诊与出院诊断符合者136例,包括复发或强化治疗再次入院者45例占21％;属于门诊常规血片中发现幼稚细胞而入院者65例占31％;仅凭病史和体检拟诊为白血病入院者26例仅占12％。现将75例误诊回顾分析如下:
Leukemia is a malignant tumor of hematopoietic tissue, leukemia cells have extensive infiltration of tissues and organs of the body, so there is a complex clinical manifestations, easily lead to misdiagnosis. In order to summarize the experience, now our hospital from May 1976 to May 1986 data is complete, and by bone marrow biopsy confirmed leukemia in 211 cases (male 142; female 69) to be sorted. Among the 211 cases of leukemia, 75 cases were newly diagnosed as non-leukemia patients with a misdiagnosis rate of 35.54%. Inpatient diagnosis and discharged diagnosed in line with 136 cases, including recurrent or intensive treatment re-admission 45 cases accounted for 21%; belongs to the outpatient routine blood film found in naive cells and admission of 65 patients accounted for 31%; only based on medical history and physical examination 26 cases of leukemia admitted to hospital only 12%. 75 cases now misdiagnosed retrospective analysis is as follows: