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作者分析了40例剖检的急性非淋巴细胞白血病的肺病变和临床资料。35例为急粒白血病,4例为急性早幼粒白血病和1例急性红白血病。30~40岁占半数。平均生存时间约一年,最长4年4个月,除1例外全部病例接受多种药物联合化疗。38例(95%)见到不同程度的肺病变,包括:1.感染症30例(75%):(1)真菌感染18例(45%),其中:①麴菌病10例,6例为重症,肉眼见病变伴出血、坏死,周界不鲜明,组织学上见到特征性的分枝状有中隔的菌丝呈放射状排列,对血管的亲和性强,形成真菌栓塞,呈出血性梗塞。2例为支气管肺炎。②毛霉菌病4例,均系重症,肉眼见有大的出血
The authors analyzed 40 cases of acute non-lymphocytic leukemia lung disease and clinical data. 35 were acute leukemia, 4 were acute promyelocytic leukemia and 1 were acute erythroleukemia. 30 to 40 years of age accounted for half. The average survival time of about one year, up to 4 years and 4 months, with 1 exception, all cases received multiple drug combination chemotherapy. Thirty-eight (95%) patients had different grades of lung lesions, including: 1.30 cases of infection (75%) :( 1) 18 cases of fungal infection (45% Severe, the naked eye see lesions with hemorrhage, necrosis, the perimeter is not clear, histologically see characteristic branched hyphae hyphae radial arrangement, strong affinity for blood vessels, the formation of fungal embolism was Hemorrhagic infarction. 2 cases of bronchial pneumonia. Mucor mycosis in 4 cases, are Department of severe, the naked eye see a big bleeding