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本文回顾性总结了10例急性白血病并发成人呼吸窘迫综合征(ARDS)的临床表现、诱发因素、转归、治疗并重点讨论了急性白血病与 ARDS 间的关系。根据本文材料,急性白血病 ARDS 的发生率为3.23%;未证实 ARDS 与白血细胞增高的相关性。本病预后极差,绝大多数(8/10)病人短期内死于急性呼衰,两例因大剂量皮质激素突击治疗而缓解,此方法值得进一步观察评价。
This article retrospectively summarized the clinical manifestations, predisposing factors, outcomes and treatment of 10 cases of acute leukemia complicated with adult respiratory distress syndrome (ARDS) and focused on the relationship between acute leukemia and ARDS. According to this article, the incidence of acute leukemia ARDS was 3.23%; no correlation between ARDS and white blood cells was confirmed. The poor prognosis of this disease, the vast majority of (8/10) patients died of acute respiratory failure in the short term, two cases of large doses of corticosteroid assault treatment to ease, this method is worth further observation and evaluation.