慢性粒细胞型白血病急性变(以下简称慢粒急变)为慢粒终末阶段的主要表现,文献中慢粒急变率自13%～80%。慢粒急变的细胞类型可为粒细胞、单核细胞及淋巴细胞型,甚至原始红细胞危象,及红白血病。慢粒急变的治疗效果差,完全缓解率约10%,但也有较好者为18～44%。根据慢粒急变细胞类型,选择相应的治疗方案就可能提高缓解率。我们近来观察一例慢粒于确诊后二年十个月发生急变,其细胞类似淋巴细胞,即慢粒急淋样变,经用中药及治疗急性 Acute chronic myeloid leukemia (hereinafter referred to as CML acute) is the main manifestation of CML stage, the literature CML rate from 13% to 80%. Cellular blastocyst types can be granulocytes, monocytes and lymphocytes, and even the original red blood cell crisis, and erythroleukemia. CML acute treatment of poor, complete remission rate of about 10%, but there are also better for 18 to 44%. According to the type of acute blast crisis cell, select the appropriate treatment options may improve remission rate. We recently observed a case of chronic particles in the diagnosis of two years after ten months of rapid change, the cells similar to lymphocytes, that is, acute myeloid leukemia, with Chinese medicine and the treatment of acute