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特发性血小板减少性紫癜(ITP)与慢性淋巴细胞白血病(CLL)及淋巴瘤的关系已为一些学者所重视。作者印象中其他类型的癌肿发生 ITP 样综合征者亦多且不能归因于机遇,因此复习了1970~1978年住入某大学医院62例 ITP 患者中合并各种肿瘤9例及另一医院的1例合并肺部燕麦细胞癌,以期加深对这个问题的认识。病人均符合下述标准:(1)血小板低于14万,骨髓巨核细胞外形正常、数量正常或增加;(2)无 DIC 证据;(3)无药物诱发血小板减少证据。
The relationship between idiopathic thrombocytopenic purpura (ITP) and chronic lymphocytic leukemia (CLL) and lymphoma has been emphasized by some scholars. The authors implicate other types of cancer in patients with ITP-like syndrome also more and can not be attributed to the opportunity, therefore reviewed in 1970 to 1978 admitted to a university hospital in 62 cases of ITP patients combined with various tumors in 9 cases and another hospital 1 case of combined lung oat cell carcinoma, in order to deepen the understanding of this issue. Patients met the following criteria: (1) platelets less than 140,000, bone marrow megakaryocytes normal, normal or increased in number; (2) no evidence of DIC; (3) no evidence of drug-induced thrombocytopenia.