我院2004年收治2例以肾小管酸中毒为首发症状的急性淋巴细胞白血病,现将临床和治疗情况报告如下。例1,女,24岁。因乏力、食欲不振、便秘3个月余,进行性加重1个月,于2004年8月7日入院。患者于2004年4月底无明显诱因出现乏力、食欲不振、便秘,无发热、恶心、呕吐、腹痛。7月初出 In our hospital in 2004 admitted to 2 cases of renal tubular acidosis as the first symptom of acute lymphoblastic leukemia, now the clinical and treatment reports are as follows. Example 1, female, 24 years old. Due to fatigue, loss of appetite, constipation more than 3 months, progressive increase of 1 month, on August 7, 2004 admission. Patients in the end of April 2004 no obvious incentive to appear fatigue, loss of appetite, constipation, no fever, nausea, vomiting, abdominal pain. Early July out