摘要
摘要目的对急性双系列白血病诊断与预后进行探析.方法临床资料选自2011年1月至2015年6月我院资料的22例急性双系列白血病患者,开展细胞遗传学、流式细胞仪细胞免疫分型等检测,以分析患者预后.结果22例患者的CD34检测均是阳性,20例患者HLA-DR检测是阳性,2例患者是阴性.16例患者为髓—B淋巴细胞混合占72.7%,6例患者是髓—T淋巴细胞混合占27.3%.治疗前,14例患者开展骨髓细胞遗传学检查均正常.22例患者在我院接受联合化疗,综合患者的髓系白血病、淋巴细胞,治疗完全缓解率是45.5%,治疗总有效率是54.5%.缓解持续时间平均是(9.8±2.2)个月,2例患者在诱导治疗过程中死亡.结论急性双系列白血病的临床诊断较为复杂,需要医务人员结合多种资料,以提高急性双系列白血病的临床诊断准确率,给予及时有效的治疗,提高患者的完全缓解率,延长患者的生存期.关键词急性双系列白血病;临床诊断;预后Abstractobjectivedoubleseriesofacuteleukemiadiagnosisandprognosisforanalysis.MethodstheclinicaldatafromJanuary2011toJune2015inourdatadoubleseriesof22casesofacuteleukemiapatients,cellsincellgenetics,thecellularimmuneclassificationsuchastesting,toanalyzetheprognosisofpaGtients.Results22casesofCD34testispositive,20patientswithHLA-DRtestispositive,2patientswerenegative.16patientsforpulp-BlymphocytemixGture(72.7%),6patientsispulp-Tlymphocytesmixedaccountedfor27.3%.Beforethetreatment,thebonemarrowcytogeneticexaminationwasconductedfor14patientswerenormal.22patientsinourhospitaltoacceptchemotherapy,synthesisofpatientswithmyeloidleukemia,lymphocytes,treatmentofcompletereGsponseratewas45.5%,totaleffectiveratewas54.5%.Easethedurationis(9.8+2.2)monthsonaverage,2patientsdiedduringtheprocessofinductiontheraGpy.Conclusiontheclinicaldiagnosisofdoubleseriesofacuteleukemiaisrelativelycomplex,needmedicalpersonnelincombinationwithavarietyofdata,inordertoimprovetheaccuracyofclinicaldiagnosisofdoubleseriesofacuteleukemia,givetimelyandeffectivetreatment,improvepatient'scompleteresponserate,proGlongthKeeypawtioerndts'ssurvival.Acutedoubleseriesleukemia;Clinicaldiagnosis;Theprognosis中图分类号R446文献标识码B文章编号1001-5302(2015)09-0653-02
出版日期
2015年09月19日(中国期刊网平台首次上网日期,不代表论文的发表时间)