小儿急性白血病一般认为起病急、病程短。但根据本院自1955年初至1975年10月所观察的65例小儿急性白血病中,并非全部为急性起病。其中25例在确诊前有个逐渐发展的过程,在此过程中主要表现为关节疼痛,不明原因的发热、贫血或出血现象,每易被误诊。今将早期症状出现两个月以上始被确诊的病例加以分析,以便吸取教训,提高早期识别小儿急性白 Pediatric acute leukemia generally considered acute onset, short course. However, according to our hospital since 1955 to October 1975 observed in 65 cases of pediatric acute leukemia, not all acute onset. Among them, 25 cases had a gradually developing process before the diagnosis. In this process, the main manifestations were joint pain, unexplained fever, anemia or bleeding, and each was easily misdiagnosed. Early symptoms appear more than two months before the case was diagnosed to be analyzed in order to learn lessons to improve the early identification of acute white children