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笔者收集以特殊表现为首发症状而误诊的急性白血病56例,现报告分析如下,以从中吸取教训,提高急性白血病的诊断正确率。1 首发症状与误诊分析1.1 以神经系统损害为首发症状,被误诊为神经系疾病:白血病细胞常侵犯脑实质、脊髓、脑脊膜及神经根,其神经损害的临床表现多种多样,常与受侵部位不同及病理性质不同有关,往往一般急性白血病的常见症状缺如,而以神经症状为首发而误诊,本文中以神经损害为首发症状的有17例,金富庭报道1例,因双下肢麻木、无力、排尿困难,以急性脊髓炎
The authors collected 56 cases of acute leukemia misdiagnosed as having a first manifestation of a special manifestation. The present report analyzes the following and draws lessons from it to improve the diagnostic accuracy of acute leukemia. 1 First-episode symptoms and misdiagnosis analysis 1.1 The first symptom of nervous system damage is misdiagnosed as a neurological disease: leukemia cells often invade the brain parenchyma, spinal cord, meninges and nerve roots, and their clinical manifestations of nerve damage are varied, often with Affected by different sites and different pathological conditions, often the common symptoms of acute leukemia are absent, but the neural symptoms as the first diagnosis and misdiagnosis, this article to nerve damage as the first symptom in 17 cases, Jin Futing reported 1 case, due to double Lower limb numbness, weakness, dysuria, acute myelitis