[婴儿急性白血病]。

Bilten za hematologiju i transfuziju Pub Date : 1979-01-01
P Cvetković, R Cvetković
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引用次数: 0

摘要

婴儿急性白血病,包括先天性和新生儿白血病,呈现出一些不利的特征。婴儿年龄、白细胞增多症、突出的器官肿大、早发性中枢神经系统白血病是导致这组儿童急性白血病的高危因素。这种疾病的不良预后由于细胞毒性治疗的频繁排斥而进一步恶化,常常无法诱导缓解和缓解时间短。本文报告2例急性淋巴细胞白血病患者,年龄4个月。临床应用目前的治疗方法,两组患者血液学均得到缓解。缓解后5个月出现复发和中枢神经系统白血病,导致1例患者死亡。第二例患者在缓解后5个月也出现了中枢神经系统白血病。经过治疗,病情再次缓解,但孩子死于间质性肺炎。
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[Acute leukemia in infants].

Acute leukemias in infants, including the congenital and neonatal leukemia, present a number of unfavourable features. Age of the infant, hyperleukocytosis, outstanding organomegaly, early onset of the CNS leukemia are some of the factors causing this group of acute leukemias of childhood to be those with highest risk. The poor prognosis of the illness is further worsened by frequent rejection of cytotoxic therapy, often failure in inducing remission and its shortness. Two patients with acute lymphoblastic leukemia, aged 4 months, are presented. Clinical the hematologic remission was achieved in both by the application of the current therapeutic methods. Recurrence and CNS leukemia appearing 5 months after the remission resulted in death of one patient. The second patient also developed CNS leukemia 5 months after remission. It was treated and another remission was achieved, but the child died due to interstitial pneumonia.

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