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急诊科急性髓系白血病合并高白细胞血症及白细胞淤滞症

Acute Myeloid Leukemia Complicated by Hyperleukocytosis and Leukostasis in the Emergency Department.

作者信息

Ngo Ryan T, Webb McAdams Amanda L, Furiato Anthony

机构信息

Emergency Medicine, Brandon Regional Hospital, Brandon, USA.

出版信息

Cureus. 2021 Jun 2;13(6):e15392. doi: 10.7759/cureus.15392.

Abstract

Acute myeloid leukemia (AML) and other hematologic malignancies can be complicated by hyperleukocytosis, which leads to an increased risk for other severe complications such as tumor lysis syndrome, disseminated intravascular coagulation (DIC), and leukostasis. In this report, we present a case of a 65-year-old female with newly diagnosed AML complicated by leukostasis. We briefly review the clinical significance as well as initial diagnostic and therapeutic considerations pertaining to hyperleukocytosis and its associated complications.

摘要

急性髓系白血病(AML)和其他血液系统恶性肿瘤可并发白细胞增多症,这会增加其他严重并发症的风险,如肿瘤溶解综合征、弥散性血管内凝血(DIC)和白细胞淤滞。在本报告中,我们介绍了一例65岁新诊断为AML并伴有白细胞淤滞的女性病例。我们简要回顾了白细胞增多症及其相关并发症的临床意义以及初始诊断和治疗注意事项。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae2d/8171272/fef3d16e898b/cureus-0013-00000015392-i01.jpg

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