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急性白血病出血的原因可能是血小板减少、血管通透性失调、血液中各种凝血因子缺乏以及纤维蛋白溶解加速。作者观察了30例各种类型的急性白血病:14例急粒、12例急淋、2例急粒—单核细胞型(Naegeli型)、1例为血原细胞型、1例为网状细胞型。男女各15名。15～63岁。30例中18例在入院时有不同程度的出血现象。急粒出血最常见(14例中有11例)。9例出现皮肤紫癜和鼻衄。2例有严重出血:皮肤广泛紫癜,大量鼻衄,子宫、肾、肠出血。急淋出血较少见(12例中4例),但其中2例有皮肤巨大血肿、紫癜及粘膜出血。急粒—单核细胞型患者的出血倾向特别
The causes of acute leukemia bleeding may be thrombocytopenia, vascular permeability disorders, a variety of blood clotting factor deficiency and accelerated fibrinolysis. The authors looked at 30 different types of acute leukemias: 14 acute, 12 acute, 2 acute-monocytic (Naegeli type), 1 hematopoietic and 1 reticulocyte type. 15 men and women each. 15 ~ 63 years old. In 30 cases, 18 cases had different degrees of bleeding on admission. Emergency pelvic hemorrhage is most common (11 of 14). Nine cases of skin purpura and epistaxis. 2 cases of severe bleeding: extensive purpura skin, a large number of epistaxis, uterine, kidney, intestinal bleeding. Bleeding acute bleeding is rare (4 cases of 12 cases), but 2 cases of skin hematoma, purpura and mucous membrane bleeding. Emergency grain - monocyte-type bleeding tendency in particular