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目的探讨小儿急性白血病的诊断及误诊原因,以减少误诊。方法对误诊的急性白血病27例进行回顾性分析。结果误诊为败血症5例,血小板减少性紫癜4例,溶血性贫血1例,风湿热6例,钩虫病1例,营养性贫血6例,消化道出血4例。误诊时间10 d~4个月。结论小儿白血病早期临床表现缺乏特异性,易误诊,详细询问病史及体格检查,全面分析结果,可疑病例及早行骨髓检查可减少误诊。
Objective To investigate the diagnosis and misdiagnosis reasons of childhood acute leukemia in order to reduce misdiagnosis. Methods Retrospective analysis of 27 cases of misdiagnosed acute leukemia. Results misdiagnosed as sepsis in 5 cases, 4 cases of thrombocytopenic purpura, hemolytic anemia in 1 case, rheumatic fever in 6 cases, hookworm in 1 case, nutritional anemia in 6 cases, 4 cases of gastrointestinal bleeding. Misdiagnosis time 10 d ~ 4 months. Conclusion The early clinical manifestations of childhood leukemia lack of specificity, easy to misdiagnosis, detailed history and physical examination, a comprehensive analysis of the results, suspected cases and early detection of bone marrow can reduce the misdiagnosis.