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急性白血病(急白)由于长期使用化疗药物、肾上腺皮质激素和多种广谱抗菌素,晚期病人机体免疫力极度低下,并发肺部霉菌感染常见,且易误诊,致加速病人死亡。为总结教训,现将我院急白尸检42例中,发现肺部霉菌感染18例,分析讨论如下。资料分析 18例急白均系本院住院确诊治疗,并在本院死亡尸检之病例。男14例,女4例。年龄4--60岁,平均28.5岁。急淋3例(L_22例,L_31例),急非淋9例(M_12例,M_2n3例,M_31例,M_41例,M_52例),慢粒急粒变2例,淋巴肉瘤白血病(淋肉白)4例。病程中数13.2个月(1月-46月)。主要症状及体征:18例均有中高热和不同程度的咳嗽、咳痰(粘液或脓性痰),
Acute leukemia (acute white) due to long-term use of chemotherapy drugs, adrenal cortex hormones and a variety of broad-spectrum antibiotics, advanced patients with extremely low immunity, pulmonary fungal infections are common and easily misdiagnosed, resulting in accelerated patient mortality. To summarize the lesson, now my hospital acute white autopsy in 42 cases, found that pulmonary fungal infection in 18 cases, analysis and discussion are as follows. Data analysis of 18 cases of acute white are hospitalized diagnosed in our hospital, and died in our hospital autopsy cases. There were 14 males and 4 females. Age 4 - 60 years old, with an average of 28.5 years old. Acute leaching in 3 cases (L_22 cases, L_31 cases), acute non-leaching in 9 cases (M_12 cases, M_2n3 cases, M_31 cases, M_41 cases, M_52 cases), CML acute granuloma in 2 cases, lymphosarcoma leukemia (lecithin) 4 cases. The course of the number of 13.2 months (January -46 months). The main symptoms and signs: 18 cases were moderate and high fever and varying degrees of cough, sputum (mucus or purulent sputum)