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目前,急性淋巴细胞性白血病(简称急淋),根据临床特点,细胞学特点及预后之不同,分为一般型和高危型两型。高危急淋(L_2型)比一般急淋的病情更为严重,预后亦差。本病例属高危型。采用计划性治疗,获得首次持续缓解6年余的疗效,现报道如下: 甄××,男,13岁,住院号40,909,因2个多月来全身无力,面色苍白伴频咳、气促,于1977年3月30日住院。全身浅在淋巴结如花生、蚕豆大、坚实。心尖部可闻SMⅡ,肝右肋下2.5cm;脾左肋下9.5cm。睾丸大小正常,无压痛。胸片:肺门影增大,上纵隔障明显向两侧增大,心脏向两侧扩大。血常规:Hb4g;白WBC22.3万,其中原淋87%,幼淋8%,成熟淋
At present, acute lymphoblastic leukemia (referred to as acute lymphoblastic), according to clinical features, cytological characteristics and prognosis of different, divided into two types of general and high-risk type. High-risk acute lymphoblastic (L_2 type) than the average acute lymphoblastic disease is more serious, the prognosis is poor. This case is a high-risk type. The use of planned treatment, for the first time sustained relief of more than 6 years of efficacy, are reported as follows: Zhen × ×, male, 13 years old, hospital number 40,909, 2 months due to general weakness, pale with frequent cough, shortness of breath, In March 30, 1977 was hospitalized. Whole body shallow lymph nodes such as peanuts, broad beans, solid. Apex can be heard SM Ⅱ, liver right rib 2.5cm; spleen left rib 9.5cm. Testicular size is normal, no tenderness. Chest X-ray: hilar shadow increased significantly increased on both sides of the mediastinum, the heart to both sides of the expansion. Blood: Hb4g; White WBC22.3 million, of which 87% of the original leaching, young leaching 8%, mature leaching