小儿急性白血病可引起骨骼病变,X线常缺乏特征性表现,结合临床虽不难确诊,但二者均不支持白血病诊断时,则易与其它疾病混淆,现报告2例。 例1 男,8岁。腰痛3个月,加重10天,伴行走困难、发热,于1992年10月29日入院。查体:一般情况好,胸腰段左侧弯,明显压痛,伴轻度后突。实验室检查:白细胞4.0×10~9/L,中性粒细胞 Pediatric acute leukemia can cause skeletal lesions, X-ray often lack of characteristic features, although clinical diagnosis is not difficult, but both do not support the diagnosis of leukemia, then easily confused with other diseases, are reported in 2 cases. Example 1 male, 8 years old. Back pain for 3 months, aggravating 10 days, accompanied by walking difficulties, fever, admitted to hospital on October 29, 1992. Physical examination: the general situation is good, left thoracic curve, tenderness, with mild kyphosis. Laboratory tests: white blood cells 4.0 × 10 ~ 9 / L, neutrophils