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[婴儿急性白血病]

[Acute leukemia in infants].

作者信息

Cvetković P, Cvetković R

出版信息

Bilt Hematol Transfuz. 1979;7(2-3):119-23.

PMID:299303
Abstract

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.

摘要

婴儿急性白血病,包括先天性和新生儿白血病,具有许多不利特征。婴儿年龄、白细胞增多、显著的器官肿大、中枢神经系统白血病的早期发作是导致这组儿童急性白血病成为高危白血病的部分因素。细胞毒性疗法频繁被拒、诱导缓解常常失败以及缓解期短暂,进一步恶化了该病的不良预后。本文介绍了两名4个月大的急性淋巴细胞白血病患者。通过应用当前的治疗方法,两名患者均实现了临床血液学缓解。缓解5个月后复发并出现中枢神经系统白血病,导致一名患者死亡。第二名患者在缓解5个月后也发生了中枢神经系统白血病。接受治疗后再次实现缓解,但该儿童因间质性肺炎死亡。

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