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急性淋巴性白血病引起眼球突出少见,现将我院收治的1例报告如下。患者男性,37岁,住院号86061,2年前因发热、头昏、乏力入我院血液内科住院,经外周血象及骨髓检查诊断急性淋巴性白血病,应用VDCP(长春新硷、柔软红霉素、左旋川冬氨酸、强的松)等方案化疗完全缓解,缓解后定期进行巩固化疗。6个月前出现左眼胀痛,眼球突出,视力下降。眼科检查:左眼球突出,突出度23mm 98mm—— 15mm,眼睑不能闭合,结膜充血(+++) ,角膜混浊,视力无光感,眼底窥不见,右眼无异常,骨髓检查完全缓解,CT检查左眼眶尖处
Acute lymphoblastic leukemia caused by prominent uncommon, now admitted to our hospital in 1 case reported as follows. Male, 37 years old, hospital number 86061, 2 years ago due to fever, dizziness, fatigue into our hospital blood medicine, peripheral blood and bone marrow examination diagnosed acute lymphoblastic leukemia, VDVD (vincristine, soft erythromycin , L-aspartate, prednisone) and other programs of complete remission of chemotherapy, remission consolidation regular chemotherapy. 6 months ago left eye pain, prominent eye, vision loss. Eye examination: the left eyeball protrusion, the degree of protrusion 23mm98mm-- 15mm, eyelid can not be closed, conjunctival hyperemia (+++), corneal opacity, no visual acuity, no peep in the eye, no abnormalities in the right eye, bone marrow examination complete remission, CT Check the left orbital apex