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近年来白血病已非少见疾患,发病率有显著增多趋势;其中非典型者,诊断常较困难,可以某一器官或组织之受累为首见症状,因而常易误诊。如处理不当,治疗不及时,则可加速病人死亡。现就本院五例非典型白血病,讨论其误诊原因及诊断方法。[例1]陈某,男性,22岁,工人,以头昏痛、眩晕、呕吐半年,七日来加重,并伴有四肢发麻,拟诊“神经官能症、美尼耳氏征”于1960年9月13日住院。病人半年前开始头昏痛、发作性耳鸣、眩晕,重时伴呕吐,食欲减退。当时在门诊检查,除有轻度贫血外,余无异常,予铁剂治疗。入院前七日,上述症状加重,并有四肢发麻,有时不能伸直,乃收住院。检查见一般情况较差,有脱水及贫血征,
In recent years, leukemia has been a rare disease, the incidence rate was significantly increased; atypical ones, the diagnosis is often more difficult, can be an organ or tissue involvement as the first symptom, and therefore often misdiagnosed. Such as improper handling, treatment is not timely, you can speed up the patient’s death. Now five cases of atypical leukemia in our hospital to discuss the causes of misdiagnosis and diagnostic methods. [Example 1] Chen, male, 22 years old, worker with dizziness, dizziness, vomiting six months, seven days to aggravate, and accompanied by numbness of the limbs, diagnosed with “neurosis, ”Hospitalized on September 13, 1960. Six months ago, the patient started dizzy, episodes of tinnitus, dizziness, vomiting accompanied by severe illness, and anorexia. At that time in the clinic, except mild anemia, I no exception, to iron treatment. On the seventh day before admission, the above symptoms were aggravated and there was numbness in the limbs. Sometimes it was not possible to straighten and was hospitalized. Check to see the general situation is poor, there is dehydration and anemia,