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目的观察急性白血病患者初诊时不同部位眼底出血与之后发生颅内出血的关系。方法对确诊白血病的患者均进行散瞳后眼底检查，按照视网膜出血的部位和类型进行分组，观察初诊1个月内是否发生颅内出血，然后进行统计学分析。结果对比分析发现：视网膜内出血（IRH）、具有白色中心的出血（WCH）、棉絮状斑点（CWS）与颅内出血的发生无明显相关，而黄斑部出血（MH）的病人颅内出血的发生率明显增高。结论对白血病患者的眼底检查有黄斑部出血时，要密切注意颅内出血。
Objective To observe the relationship between retinal hemorrhage at different parts and intracranial hemorrhage after initial diagnosis in patients with acute leukemia. Methods The patients with confirmed leukemia underwent fundus examination after dilated pupils. Grouped according to the location and type of retinal hemorrhage. Observed whether intracranial hemorrhage occurred within one month after initial diagnosis, and then performed statistical analysis. The results of comparative analysis found that: intraretinal hemorrhage (IRH), white center bleeding (WCH), cotton wool spots (CWS) and intracranial hemorrhage were not significantly related to the incidence of intracranial hemorrhage in patients with macular hemorrhage (MH) Increased. Conclusion When the macular hemorrhage of the leukemia patient has macular hemorrhage, close attention should be paid to intracranial hemorrhage.