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我院收治117例白血病患儿中,有不同程度泌尿系统损害者46例(40%),其中3~7岁组发生率最高(50%),其次为7~14岁组(38%),0~3岁组(24%)。不同类型中泌尿系统损害率依次为急单(5/9例)、恶性淋巴瘤白血病期(3/6例)、急淋(20/42例,47%)和急粒(18/39例,33%)。通过对46例临床分析,作者认为白血病细胞浸润,泌尿系统感染,出、凝血机制障碍,尿酸性肾病和药物损害为泌尿系统损害的主要因素。
Forty-six cases (40%) of urinary system lesion were treated in our hospital with 117 leukemia patients, among which the highest incidence was 50% in 3-7 years group, followed by 38% in 7-14 years group, 0 to 3 years old group (24%). The urinary system damage rates in different types were as follows: urgent orders (5/9 cases), malignant lymphoma leukemia (3/6 cases), acute leaching (20/42 cases, 47%) and acute pellets (18/39 cases, 33%). Through the clinical analysis of 46 cases, the authors believe that leukemia cell infiltration, urinary tract infection, out, coagulation disorders, uric acid nephropathy and drug damage are the main factors of urinary system damage.