32例老年人急性白血病的临床特点

近年来,老年人急性白血病有逐年增多趋势,男性多于女性,以急粒为多见,急淋和急单次之。起病较缓,多呈亚急性过程,临床表现常不明显,易并发感染,病死率50%,脑出血是主要死亡原因。治疗应以小剂量化疗及加强支持疗法为主,尚需注意合并症。

Clinical Features of 32 Old Patients with Acute Leukemia

The incidence of old patients with acute leukemia increases year by year. These leukemias occurred more in males than in femals. Acute granulocytic leukemia (AGL) occurred more frequently, while acute lymphocytic leukemia and acute monoblastic leukemia occurred less frequently than AGL. The characterastics of these groups undergone a sluggish process in early stage, and manifested subclinical pattern. The patients without obvious symptoms and sings were easy to be infectioned. The fatality rate was 50%, while cerebral hemorrhage was the main cause of death. Small dosage chmotherapy and supportive therapy should be emphasized and we should pay attention to complications during tharepy.