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作者研究了157例急性白血病组织化学的特点。除了检查过氧化酶、糖原反应、酸性磷酸酶、氟化钠孵育和不孵育的a-萘基脂酶以外,全部患者还检查了氯乙酸脂酶。157例患者中按组织化学分急淋占22.3%,急粒28.6%,急单6.3%,急粒单16.6%,急早幼粒3.8%,急红白4.5%。急性未分化型11.5%。有6.3%患者因检查结果互有矛盾故不能分型。急性淋巴细胞性白血病:此型白血病糖原反应阳性,过氧化酶阴性,共35例。又按组织化学特点分二组。第1组16例,于临状症状出现后1个月,化疗前作组织化学检查。糖原反应阳性呈块状的9例,明显颗粒状5例,2例阴性。此2例当时定为未分化型,但当疾病进展时糖原反应变为阳性而诊断急淋。有7例30~60%的原始细胞酸性磷酸酶呈弥散
The authors studied the histochemical features of 157 acute leukemias. In addition to examining the peroxidase, glycogen response, acid phosphatase, sodium fluoride incubation and not incubated a-naphthyl lipase, all patients also checked chloroacetate lipase. The 157 patients were divided into 22.3% patients according to histochemical score, 28.6% acute patients, 6.3% acute patients, 16.6% acute ones, 3.8% acute young children and 4.5% acute red and white patients. Acute undifferentiated 11.5%. 6.3% of patients because of conflicting test results can not type. Acute lymphoblastic leukemia: This leukemia glycogen-positive, peroxidase-negative, a total of 35 cases. According to the characteristics of tissue chemistry divided into two groups. Group 1 16 cases, 1 month after the emergence of clinical symptoms, histochemical examination before chemotherapy. Glycogen positive reaction was massive in 9 cases, obviously granular in 5 cases, 2 cases negative. The two cases were then classified as undifferentiated, but the glycogen response became positive as the disease progressed, diagnosing the acute lymph node. There are 7 cases of 30 to 60% of the original cell acid phosphatase was dispersed