Tschintschaladze Z W
Folia Haematol Int Mag Klin Morphol Blutforsch. 1984;111(1):32-42.
The present investigations demonstrate that as far as the genesis of non-lymphatic leukemias is concerned environmental factors may be assumed as an aetiological factor to an increasing extent. Medicaments, particularly cytostatics, exogenous noxious occupational agents and infectious-inflammatory diseases might be significant for developing ANLL, whereas virus infection, immunizations, and acclimatization to specific conditions of climate may be rather attributed as risk factors for ALL. A tendency to deviations from the blood picture ( lymphomonocytosis , leukocytopenia, toxic granulation of neutrophilic granulocytes) can be increasingly observed in workers engaged in chemical industry, with these changes, being still reversible. A permanent effect of exogenous toxic agents, however, will produce a serious damage of the bone-marrow. Further investigations are provided for elucidating the function of different haemopoietic cell systems, particularly the immune status, in workers of those enterprises where an exposure to noxious substances can be found.
目前的研究表明,就非淋巴细胞白血病的发生而言,环境因素可能在越来越大的程度上被视为病因。药物,尤其是细胞抑制剂、外源性有害职业因素和感染性炎症性疾病可能对急性非淋巴细胞白血病的发生具有重要意义,而病毒感染、免疫接种以及对特定气候条件的适应则更可能被视为急性淋巴细胞白血病的危险因素。在化工行业的工人中,越来越多地观察到血液图像出现偏差的趋势(淋巴细胞增多、白细胞减少、中性粒细胞毒性颗粒),这些变化仍是可逆的。然而,外源性有毒物质的长期作用将对骨髓造成严重损害。还需要进一步研究,以阐明在那些存在接触有害物质情况的企业中工作的工人不同造血细胞系统的功能,尤其是免疫状态。