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老年人急性白血病(AL)的发病率逐年增加已引起关注,现将我科1971～1986年收治的60岁以上老年人 AL14例报告如下.临床资料一、一般资料:13例系住院患者,占同期住院成人 AL141例的9.2%,1例为门诊病人,男女各7例.60～69岁9例,70～79岁4例,>80岁1例.其中急粒9例(含急性早幼粒白血病2例),急粒-单1例,急淋2例,急单1例,慢粒急性变1例.二、发病与症状:2例发病较急骤(3～10天),其余病程为1～5月不等.发热19例,其中7例为低热;贫血14例,出血7例.胸骨压痛8例,肝肿大9例,淋巴结肿大7例,口腔溃疡1例.三、实验室检查①血像:Hb70g/L 1例,<50K/L 者13例.WBC 计数<4×10~(?)/L 者6例,>
The incidence of acute leukemia (AL) in the elderly has been increasing year by year, causing concern that now our department from 1971 to 1986 admitted to the elderly over the age of 60 AL14 cases reported as follows.Clinical data First, the general information: 13 cases of inpatients, accounting for In the same period, 9.2% of ALI patients were hospitalized, one was outpatient, 7 were male and 6 female, 9 were from 60 to 69, 4 were from 70 to 79, and 1 was over 80. Among them, 9 cases of acute granulocyte 2 cases of acute leukemia, 1 case of acute pellet, 2 cases of acute lymphoblasticity, 1 case of acute one, 1 case of acute microneedles. (1) The onset and symptoms: The incidence of 2 cases was more severe (3-10 days) 19 cases were fever, of which 7 cases were fever; anemia in 14 cases, hemorrhage in 7. 8 cases of sternal tenderness, hepatomegaly in 9 cases, 7 cases of lymphadenopathy, oral ulcer in 1. Third, Laboratory tests ① blood: Hb70g / L in 1 case, <50K / L in 13 cases .WBC count <4 × 10 ~ (?) / L in 6 cases,