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近年来,急性白血病采用综合治疗后,缓解率明显提高,“无病”长期存活者逐年增多。若能长期持续缓解则有希望完全治愈。因此,探讨如何使病人长期缓解,颇有现实意义。我院1977～1985年间,有2例自第一次完全缓解后,至今未复发已达8年之久。例1:董某、女、31岁、农民。病前一个月曾患感冒,服氯霉素等治疗好转。后因出现膝关节、小腿剧痛、发热(38～39℃),按“风湿病”采用强的松治疗不见缓解,且日渐出现头晕、乏力、全身衰竭致卧床不起,于1977年4月8日转来我院。既往无特殊。入院查体:神清、贫血貌、血压120/60mmHg,脉搏120次、体温39℃、颈、腋、腹股沟处扪及肿大淋巴结、质硬,心肺(-)、肝脾未及,胸骨压痛(+)。血相:Hb 3—4.5g%、WBC400～600/mm~3、血片:全片见白细胞30个。原+
In recent years, the comprehensive treatment of acute leukemia, the remission rate was significantly improved, “disease-free” long-term survival increased year by year. If sustained long-term relief there is hope that completely cured. Therefore, to explore how to make the patient long-term relief, quite realistic significance. Between 1977 and 1985 in our hospital, 2 patients had not relapsed 8 years after the first complete remission. Example 1: Dongmou, female, 31 years old, farmer. A month before the illness had a cold, taking chloramphenicol and other treatment improved. After the emergence of the knee, leg pain, fever (38 ~ 39 ℃), according to “rheumatism” with prednisone treatment did not ease, and increasingly dizziness, fatigue, systemic failure to bedridden, in April 1977 Transfer to our hospital on the 8th. No special past. Admission examination: Shen Qing, anemia appearance, blood pressure 120 / 60mmHg, pulse 120 times, temperature 39 ℃, neck, axilla, inguinal palpable enlarged lymph nodes, hard, cardiopulmonary (-), liver and spleen and chest tenderness (+). Blood: Hb 3-4.5g%, WBC400 ~ 600 / mm ~ 3, blood film: see the whole film 30 white blood cells. Original +