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为了探讨一种更好地反映恶性肿瘤患儿蛋白质一热能营养不良的判断指标,作者用B型超声波对骨骼肌的厚度进行检测,以此表明骨骼肌消耗情况,并同时观察了所得指标在化疗不同时期的变化,结果如下.1 材料和方法1.1 病儿组 新诊断恶性肿瘤病儿21例(急性淋巴细胞白血病10例,急性非淋巴细胞白血病5例,非何杰金氏淋巴瘤3例,何杰金氏病1例,恶性组织细胞病1例,骨髓增生异常综合征1例).男13例、女8例,年龄1～12岁、平均7岁.其中13例患儿接受了化疗方案包括肾上腺皮质激素的治疗,其强的松用量为2mg/kg.d,连用4～6周于化疗前及化疗后4、8、12、24周分别测量患儿身长、体重、左大腿腿围.同时行B型超声测量股四头肌的厚度及该处皮下脂肪的厚
In order to explore a better indicator of protein malnutrition in children with malignant tumors to determine the indicators, the author of B-type ultrasound on the thickness of skeletal muscle to detect skeletal muscle consumption, and to observe the resulting indicators in the chemotherapy The changes in different periods, the results are as follows.1 Materials and methods 1.1 sick children new diagnosis of 21 cases of malignant tumors (acute lymphoblastic leukemia in 10 cases, 5 cases of acute non-lymphocytic leukemia, non-Hodgkin’s lymphoma in 3 cases, 1 case of Hodgkin’s disease, 1 case of malignant histiocytosis and 1 case of myelodysplastic syndrome.) There were 13 males and 8 females, aged from 1 to 12 years, with an average of 7 years of age, of whom 13 received chemotherapy Program includes the treatment of adrenal cortex hormones, prednisone amount of 2mg / kg.d, once every 4 to 6 weeks before chemotherapy and 4,8,12,24 weeks after chemotherapy were measured in children with height, weight, left thigh leg Wai.At the same time the B-type ultrasound measurement quadriceps thickness and subcutaneous fat thickness