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12例急性白血病并发颅内出血的病因探讨与救治分析
引用本文:李希芝,李剑,马会力. 12例急性白血病并发颅内出血的病因探讨与救治分析[J]. 中国实用神经疾病杂志, 2008, 11(2): 17-20
作者姓名:李希芝  李剑  马会力
作者单位:深圳市第九人民医院神经内科,深圳,518116;山东滨州市中心医院急诊科,滨州,517000
摘    要:目的探讨急性白血病并发颅内出血的特点、病因及救治方法。方法分析我院因急性白血病并发颅内出血死亡的12例患者的临床资料,总结经验。结果急性白血病并发颅内出血的病因为高白细胞血症、感染、血小板减少及质量异常等综合因素,其中高白细胞血症最重要。结论急性白血病并发颅内出血的特点:进行性、凶险性、多灶性;及时控制患者病情,积极降低白细胞数量,常规进行预防性鞘内注射对挽救患者的生命具有极其重要的意义。

关 键 词:急性白血病  颅内出血  病因  治疗
文章编号:1673-5110(2008)02-0017-04
修稿时间:2007-11-15

Etiology and treatment of acute leukemia complicated intracranial hemorrhage :analysis of 12 cases
Li Xizhi,Li Jian,Ma Huili. Etiology and treatment of acute leukemia complicated intracranial hemorrhage :analysis of 12 cases[J]. Chinese Journal of Practical Neruous Diseases, 2008, 11(2): 17-20
Authors:Li Xizhi  Li Jian  Ma Huili
Abstract:Objective To analyze the characteristics,causes and treatment methods of intracranial hemorrhage in acute leukemia.Methods The clinical data of 12 patients suffered from intracranial hemorrhage in acute leukemia were analyzed,and clinical experience from them was aggregated.Results The risk factors lay in hyperleukocytosis,infection,thrombocytopenia and quality anomalies,etc.The most important risk factor was hyperleukocytosis.Conclusion Intracranial hemorrhage in acute leukemia is characterized by gradual,dangerous and multifocal.Controlling the patients' condition,reducing the number of leukocytes actively,and routine intrathecal treatment have extremely important significance for saving the lives of patients.
Keywords:Acute leukemia  Intracranial hemorrhage  Etiology  Treatment
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