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本文报道了1例急性成淋巴细胞白血病人死于粪类圆线虫重感染。患者46岁,男性。在经过正定霉素、长春新碱和强的松等4个疗程后,获得完全缓解,接着采用6-硫基嘌呤、胺基甲基叶酸支持疗法。支持疗法的第3周,患者述体重减轻、扩散性腹痛、食后呕吐、腹胀。胃镜发现食道炎兼有相当多胆汁倒流入胃。腹胀痛进行性加剧,钡餐检查发现部分回肠有明显的肠粘膜水肿。剖腹探查发现空肠扩张、普遍静脉郁滞和多处肠系膜淋巴结节肿大。淋巴结活检证实有慢性非特异性腺炎。因为食后恶心呕吐、几乎难以进食。尽管经胃肠道或胃肠道外的营养补充,但病人
This paper reports a case of acute lymphoblastic leukemia died of infection with Staphylococcus aureus. The patient is 46 years old, male. After 4 courses of treatment with noradrenomycin, vincristine and prednisone, complete remission was achieved, followed by 6-thiopurine and aminomethylfolate support. In the third week of supportive care, the patient reported weight loss, diffuse abdominal pain, postprandial vomiting, bloating. Endoscopy found that both esophagitis and bile reflux into the stomach. Abdominal pain progressive increase barium meal examination found that part of the ileum obvious intestinal mucosal edema. Splenectomy found that jejunal dilatation, widespread venous stasis and multiple mesenteric lymph node enlargement. Lymph node biopsy confirmed chronic non-specific adenitis. Because after eating nausea and vomiting, almost difficult to eat. Despite the gastrointestinal or gastrointestinal nutritional supplements, but the patient