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目的:分析老年性急性白血病误诊原因。方法:回顾性分析1995/2004年克拉玛依市中心医院血液科35例老年性急性白血病患者的临床资料。结果:以特殊表现为首发而误诊者15例,CR 0例,PR 6例,NR 8例,死亡9例,缓解率40%,病死率60%。结论:对不规则发热,伴有不同程度贫血、顽固的骨关节疼痛、牙痛、神经系统表现等的老年患者应考虑到白血病的可能,并尽早进行血液学方面的检查,以免误诊。
Objective: To analyze the causes of misdiagnosis of senile acute leukemia. Methods: The clinical data of 35 elderly patients with acute leukemia in Department of Hematology, Karamay Central Hospital from 1995 to 2004 were retrospectively analyzed. Results: Fifteen cases were misdiagnosed as special cases. There were 0 cases of CR, 6 cases of PR, 8 cases of NR and 9 cases of death. The remission rate was 40% and the case fatality rate was 60%. Conclusion: Elderly patients with irregular fever, anemia with varying degrees, stubborn osteoarthritis, toothache and neurological manifestations should consider the possibility of leukemia and conduct early hematological examination to avoid misdiagnosis.