目的　探讨小儿恶性淋巴瘤 (ML)的死亡原因。方法　搜集我院 2 0年来小儿ML资料完整的死亡病例 ,根据ML的病理类型、临床分期、症状分组、治疗方法等与预后有关的重要因素进行分析总结。结果　2 3例淋巴瘤死亡病例中非霍奇金淋巴瘤 1 9例 ,占 83 % ,Ⅳ期患者 1 7例 ,占 74% ,有症状的B组 1 8例 ,占78%。男性发病 1 7例 ,占 74% ,男女之比为 2 .8∶1。结论　ML预后主要与病理类型、临床分期、有无临床症状等因素有关。非霍奇金淋巴瘤、Ⅲ期或Ⅳ期患者 ,有临床症状的B组死亡率高。男性发病高于女性 Objective To investigate the causes of death in children with malignant lymphoma (ML). Methods We collected 20 cases of pediatric ML data complete death cases in our hospital and analyzed the important factors related to the prognosis according to the pathological type, clinical stage, symptom grouping and treatment of ML. Results Among the 23 cases of lymphoma, 19 were non-Hodgkin’s lymphoma, accounting for 83%. Among them, 17 were stage Ⅳ, accounting for 74%. Symptomatic group B had 78 cases (78%). Seventeen cases of males, accounting for 74%, male to female ratio of 2.8. Conclusion The prognosis of ML is mainly related to the pathological type, clinical stage and clinical symptoms. Non-Hodgkin’s lymphoma, stage III or IV patients, clinical symptoms of high mortality group B. Men than women incidence