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白血病占所有癌症死亡的4％,为所有30岁以下癌症病人死亡的首位。曾报告发生在白血病临终前有各种罕见的胃肠道并发症,但随着有效的治疗及病人生存期的延长,这种胃肠道并发症的发病率有所增加。 本文报告142例白血病(儿童47例,成人95例)患者有关胃肠道并发症的类型,诊断方法及其与抗白血病治疗的关系。 142例中13例中(9％)至少有1次明显的胃肠并发症,6例系儿童,7例为成人。发生并发症时仅2例临床缓解,未再接受抗白血病治疗,另11例在积极抗白血病治疗。6例(成人、儿童各3例)为急性粒细胞性白血病,另7例为不同类型的急慢性白血病。13
Leukemia accounts for 4% of all cancer deaths and ranks first among all cancer patients under 30 years of age. It has been reported that there are a variety of rare gastrointestinal complications before the death of leukemia, but the incidence of such gastrointestinal complications has increased with effective treatment and patient survival. This article reports 142 cases of leukemia (47 cases of children, 95 cases of adult patients with gastrointestinal complications related to the type of diagnosis and its relationship with anti-leukemia treatment. Thirteen of the 142 patients (9%) had at least one significant gastrointestinal complication, 6 were pediatric and 7 were adults. Complications occurred only 2 cases of clinical remission, no longer received anti-leukemia treatment, the other 11 cases of active anti-leukemia treatment. Six cases (three adults and three children) were acute myeloid leukemia, and the other seven cases were different types of acute and chronic leukemia. 13