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报道老年急性白血病31例,其中急性非淋巴细胞白血病(ANLL)27例,急性淋巴细胞白血病(ALL)4例.临床表现不典型,起病隐匿,多数以贫血为首发症状,出血及浸润症状较少,常有伴发病.血象非白血性者占16例(5l.6%).骨髓增生低下者并不多,只占9.1%,增生活跃以上者占绝大多数,骨髓象多呈低原始细胞性.联合化疗达完全缓解者共12例(44.4%),其中完全缓解8例,完全缓解率为30%,单用小剂量化疗尽管副作用小但结果不满意.本文对31例老年急性白血病的临床特点及治疗进行了讨论.
Reported 31 cases of elderly acute leukemia, including 27 cases of acute non-lymphocytic leukemia (ANLL), 4 cases of acute lymphoblastic leukemia (ALL) .At the clinical manifestations of atypical, onset occult, the majority of anemia as the first symptom, bleeding and infiltration symptoms Less often associated with the disease .Blood non-white blood accounted for 16 cases (5l.6%) .Myoblastic hyperplasia is not many, only 9.1%, hyperplasia more than the majority of active, mostly low-bone marrow In 12 cases (44.4%) with complete remission, the complete remission was achieved in 8 cases and the complete remission rate was 30%. The low dose chemotherapy alone was not satisfied with the results.Among the 31 elderly patients with acute leukemia The clinical features and treatment were discussed.