恶性血液疾病合并骨髓坏死9例临床分析

摘要目的研究分析恶性血液疾病合并骨髓坏死的发病机理、临床症状特点以及血液学变化特征。方法回顾分析本院9例恶性血液疾病合并骨髓坏死患者临床资料，对全部患者症状特点、诊断以及预后进行分析探讨。结果全部患者均存在贫血、发热、全身性骨痛等症状，9例骨髓坏死患者中1例伴有慢性粒细胞白血病患者在治疗一周后家属放弃治疗出院，余下8例患者均通过科学规范的化疗后，其中4例骨髓症状完全改善，2例患者骨髓症状好转，2例患者未骨髓病情无变化。结论对于骨髓坏死这类较为难治的综合性症状，其主要的原发病因素为恶性血液疾病，治疗时首先考虑患者原发病情状况制定个体化治疗方案，同时加强疑似病症患者的骨髓检查，避免误诊或漏诊的发生。

• 作者: 秦童1邵运丽2
• 出处: 《医师在线》 2015年6期
• 关键词: 恶性血液疾病 白血病 败血症 骨髓坏死 多发性骨髓瘤中图分类号 R2 文献标号 A 文章编号 2095-7165（2015）11-0114-01Malignant blood disease merging bone marrow necrosis of 9 cases of clinical analysisAbstract Objective To study the pathogenesis analysis of malignant blood disease with bone marrow necrosis of the clinical symptoms andpathological changes of blood characteristics. Methods a retrospective analysis of 9 cases of malignant hematological diseases in our hospital from 2009January ~2014 year in November the clinical data of patients with bone marrow necrosis the primary disease in 3 cases of acute leukemia 2 cases ofsepticemia complicated with cirrhosis 1 cases of multiple myeloma 2 cases of chronic myeloid leukemia to analyze all patients the characteristics ofsymptoms diagnosis and prognosis. Results all patients were found with anemia fever body pain and other symptoms 9 cases of bone marrow necrosis in1 patients with chronic myeloid leukemia patients after one week treatment and family members to give up treatment a
• 分类: [医药卫生][临床医学]