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作者回顾性分析了92例急性白血病死亡病例,结果:92例中因合并感染死亡者35例,占380%。感染病原菌以G(-)菌为主,主要为绿脓杆菌和大肠杆菌。感染受累的系统以呼吸道(尤其是肺和咽喉的感染多见)和消化道为主。本组92例中因出血死亡者31例,占337%。其中M317例,发生DIC者15例,颅内出血者20例。M3患者出血表现尤为突出。由此可见,感染和出血(尤其是颅内出血和DIC的发生)是急性白血病患者死亡的重要因素。
The authors retrospectively analyzed 92 cases of acute leukemia deaths. Results: Of the 92 cases, 35 cases were due to co-infection, accounting for 38.0%. The main pathogens were G(-) bacteria, mainly Pseudomonas aeruginosa and E. coli. The infection-affected system is dominated by the respiratory tract (especially lung and throat infections) and the digestive tract. Of the 92 patients in this group, 31 died due to bleeding, accounting for 33.7%. Among them, M317 cases included 15 cases of DIC and 20 cases of intracranial hemorrhage. Hemorrhage in M3 patients is particularly prominent. This shows that infection and bleeding (especially the occurrence of intracranial hemorrhage and DIC) are important factors for the death of patients with acute leukemia.