van Buchem M A, Wondergem J H, Kool L J, te Velde J, Kluin P M, Bode P J, Busscher D L
Department of Diagnostic Radiology, Leiden University Medical Center, The Netherlands.
Radiology. 1987 Dec;165(3):739-41. doi: 10.1148/radiology.165.3.3479813.
The terminal chest radiographs of ten patients with pulmonary leukostasis were correlated with the autopsy findings. In six patients, no abnormalities attributable to leukostasis were seen on chest radiographs. In four patients, diffuse alveolar consolidations were caused by alveolar edema following leukostasis. Leukostasis should be considered in leukemia patients with severe dyspnea who have normal chest radiographs or diffuse alveolar edema.
对10例肺白细胞淤滞症患者的胸部X线终末片与尸检结果进行了相关性分析。6例患者胸部X线片未见可归因于白细胞淤滞的异常表现。4例患者因白细胞淤滞后的肺泡水肿导致弥漫性肺泡实变。对于胸部X线片正常或有弥漫性肺泡水肿且有严重呼吸困难的白血病患者,应考虑白细胞淤滞症。