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功能性子宫出血(下称功血)为妇科常见病、多发病、经正规综合治疗预后良好.然而有一些白血病病人以月经过多、淋漓不止为主要或首发症状.当无其他阳性体征时易误诊为功血,结果延误了白血病的诊治.近年来我们遇到8例报告如下.1 临床资料年龄24～56岁、平均41.5岁.自出现阴道流血至确诊为白血病的时间平均为5.5个月(3～8个月).诊断为急性非淋巴细胞性白血病(急非淋)M_1型(急性粒细胞性白血病)1例,M_3型(急性早幼粒细胞性白血病)3例,M_5型(急性单核细胞性白血病)4例,经治疗完全缓解2例、死亡6例.典型病例:女、26岁.因阴道流血伴乏力、头晕4个月来院.4个月来均因阴道淋漓出血不止而就诊于妇科、以功能性出血予性激素、止血剂及刮宫术等治疗不见好转.贫血渐加重,并感头晕、乏力、气短.无鼻衄、便血及皮肤出血;无发热、骨痛等.平素月经正常.
Functional uterine bleeding (hereinafter referred to as dysfunctional uterine bleeding) is a gynecological common disease, frequently-occurring disease, the prognosis of the regular comprehensive treatment of good. However, some leukemia patients to menorrhagia, dripping more than the main or first symptom when no other positive signs Misdiagnosed as dysfunctional uterine bleeding, the results delay in the diagnosis and treatment of leukemia in recent years we encountered 8 cases reported as follows.1 Clinical data Age 24 to 56 years, mean 41.5 years Since the occurrence of vaginal bleeding to diagnosed with leukemia for an average of 5.5 months (3 to 8 months) .The diagnosis of acute non-lymphocytic leukemia (acute lymphoblastic) M 1 type (acute myeloid leukemia) in 1 case, M_3 type (acute promyelocytic leukemia) in 3 cases, M_5 type Acute monocytic leukemia) in 4 cases, 2 cases were completely relieved after treatment, 6 cases died.Patients: 26 years old, due to vaginal bleeding with fatigue, dizziness 4 months to the hospital .4 months due to vaginal drip bleeding Not only in the treatment of gynecology, to functional bleeding to sex hormones, hemostatic agents and curettage and other treatment did not improve .Anemia gradually heavier, and feel dizzy, weakness, shortness of breath .No nasal cavity, blood in the stool and skin bleeding; no fever, bone pain, etc. Normal menstruation normal.