妊娠合并白血病发生率不高,但由于并发症严重,易导致母婴死亡,临床处理较为棘手。白血病对妊娠母体及胎儿具有显著性的损害,而妊娠状态对白血病可能并无明显影响。妊娠合并白血病的临床处理需要严格区分妊娠状态,早孕患者建议立即停止妊娠后积极治疗白血病,中晚孕患者应积极足量化疗,辅以支持疗法,争取在短期内完全缓解。影响患者预后的主要因素是及时诊断并尽早开始强力化疗以提高缓解率和可能的治愈率。 The incidence of pregnancy complicated with leukemia is not high, but due to serious complications, easily lead to maternal and infant deaths, clinical treatment more difficult. Leukemia has significant damage to the pregnant mother and the fetus, while pregnant status may have no significant effect on leukemia. Clinical treatment of pregnancy complicated with leukemia requires a strict distinction between pregnancy status, early pregnancy suggested that patients with active treatment of leukemia immediately stop pregnancy, patients with late pregnancy should be positive enough chemotherapy, combined with supportive care, for complete remission in the short term. The main factors affecting the prognosis of patients are timely diagnosis and start intensive chemotherapy as soon as possible to improve the remission rate and possible cure rate.