急性白血病起病较急,临床表现复杂多样,易误诊。我院1982年以来收治白血病216例,误诊86例。其中收治急性白血病147例,初诊时误诊69例,误诊率达46,9%。报道如下: 一、因外周三系列减少误为再障患者男。22岁,乏力,心悸纳差月余,查体:重度贫血貌,浅表淋巴结及肝脾不大。Hb30g/L,WBC2.0×10~9/L,血小板25×10~9/L,髂前及髂后上棘1周内先后两次骨髓检查均示增生低下,诊断再障,经多次输血等治疗,缓解出院,1个月后再度以发热,鼻衄入院,外周血液浓缩法涂片找到原始粒及早幼粒细胞,即予胸骨柄骨髓检查原粒 More acute onset of acute leukemia, complex and diverse clinical manifestations, easily misdiagnosed. 216 cases of leukemia admitted to our hospital since 1982, misdiagnosed 86 cases. Among them, 147 cases were treated with acute leukemia and 69 cases were misdiagnosed at the time of initial diagnosis, the misdiagnosis rate was 46.9%. Reported as follows: First, due to reduce the series of outer Wednesday mistakes for men with aplastic anemia. 22 years old, fatigue, palpitations poor balance of more than a month, physical examination: severe anemia appearance, superficial lymph nodes and small spleen and liver. Hb30g / L, WBC2.0 × 10 ~ 9 / L, platelet 25 × 10 ~ 9 / L, anterior iliac and posterior superior iliac spine within two weeks have shown that bone marrow biopsy lower hyperplasia, the diagnosis of aplastic anemia, after multiple Blood transfusions and other treatment, relieve discharge, again after 1 month with fever, epistaxis admission, peripheral blood concentration smear find the primordial granulocyte and promyelocytic cells, that is, to the sternum stalk bone marrow check the original particles