[急性白血病继发肺炎的诊断与治疗特点]
[Characteristics of the diagnosis and treatment of secondary pneumonia in acute leukemia].
作者信息
Iakovlev V N, Alekseev V G, Dmitriev Iu K, Verevkin I N, Polovoĭ A M
出版信息
Ter Arkh. 1987;59(6):21-7.
The authors presented the results of clinical observations and autopsy findings concerning the peculiarities of the development, diagnosis and treatment of secondary pneumonia in acute leukemia with pulmonary complications. Immunological disorders in patients with pneumonia in acute leukemia (general-changes in the levels of lysozyme, complement, immunoglobulins, T-lymphocytes, lymphocyte blast-transformation reaction; local-morphological changes, changes in the content of lysozyme, acid phosphatase activity, bronchoalveolar wash-off) were shown. A study of bronchoalveolar washes-off showed a clinical efficacy of a method of endobronchial injection of leukocytic mass for pneumonia in acute leukemia.
作者介绍了有关急性白血病合并肺部并发症时继发性肺炎的发生、诊断及治疗特点的临床观察结果和尸检发现。文中展示了急性白血病合并肺炎患者的免疫紊乱情况（溶菌酶、补体、免疫球蛋白、T淋巴细胞水平的总体变化、淋巴细胞增殖转化反应；局部形态学变化、溶菌酶含量变化、酸性磷酸酶活性、支气管肺泡灌洗情况）。对支气管肺泡灌洗的研究表明，支气管内注射白细胞团治疗急性白血病合并肺炎的方法具有临床疗效。
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