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近年来,随着白血病药物治疗的进展,病人存活率显著增长,相继出现的眼部症状就也明显增加,因此白血病眼部浸润的治疗成为临床上值得探讨的课题。本文报告一例急性淋巴细胞性白血病眼部浸润,经治疗后取得显著效果。李×,女,21岁,1983年2月因发热,咽痛,关节酸痛来院就诊。检查结果白细胞380,000,骨髓增生活跃,幼淋占96％,经血组织化学染色诊断为急性淋巴细胞性白血病(L_1型)。用长春新碱和激素治疗,病情显著缓解出院。1984年3月患者出现下肢行走困难,伴恶心呕吐、腰穿提示白血病脑膜浸润,经鞘内注射MTX及地塞米松后症状消退。眼底检查两侧视盘水肿,右侧为重且色泽稍淡,眼底未
In recent years, with the progress of leukemia drug treatment, the patient survival rate increased significantly, the successive occurrence of ocular symptoms also increased significantly, so the treatment of leukemia eye infiltration becomes a clinical issue worth exploring. This article reports a case of acute lymphoblastic leukocytosis, after treatment, achieved significant results. Lee ×, female, 21 years old, February 1983 due to fever, sore throat, joint pain to the hospital. Leukocyte 380,000 test results, bone marrow hyperplasia, young leaching accounted for 96%, menstrual histochemical staining for acute lymphoblastic leukemia (L_1 type). With vincristine and hormone therapy, the condition was significantly relieved discharge. March 1984 patients with lower extremity walking difficulties, with nausea and vomiting, lumbar puncture prompted leukemia meningoencephalitis, intrathecal injection of MTX and dexamethasone subsided symptoms. Fundus examination on both sides of the optic disc edema, the right side of the weight and slightly lighter color, fundus not