| 陆文斌 金建华 李献文 王芳 顾小燕 杨玉薇 张华.高白细胞急性白血病并发急性呼吸窘迫综合征13例临床分析[J].实用中西医结合临床,2007,(6):11-12 |
| 高白细胞急性白血病并发急性呼吸窘迫综合征13例临床分析 |
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| DOI： |
| 中文关键词: 高白细胞急性白血病 急性呼吸窘迫综合征 感染 |
| 英文关键词: Hyperleukocytic acute leukemia(HLAL) Acute respiratory distress syndrome(ARDS) Infection |
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| 中文摘要: |
| 目的：探讨高白细胞急性白血病(HLAL)并发急性呼吸窘迫综合征(ARDS) 的高危因素、临床特征、治疗及预后,提高对HLAL并发ARDS 的诊治水平。方法：回顾性分析13例HLAL并发ARDS患者的临床资料。结果：HLAL并发ARDS死亡5例(38.46%)；因感染而诱发ARDS 5例(38.46%)。结论：对有发生ARDS 高危因素的高白细胞急性白血病患者应积极预防,早期诊断；在纠正低氧血症的同时,针对病因治疗； 对因感染而诱发ARDS 的患者，早期应经验性使用强效广谱抗生素。 |
| 英文摘要: |
| Objective : To investigate the inducing factors , clinical characteristics , treatment and prognosis of hyperleukocytic acute leukemia(HLAL) with acute respiratory distress syndrome (ARDS) in order to improve the level of diagnosis and treatment . Methods : The clinical data of 13 cases with HLAL complicated with ARDS were analyzed retrospectively. Results : 5 cases died from HLAL with ARDS(38.46%)； ARDS were induced by infections in 5 cases (38.46%).Conclusion : Patients who have high risk factors of developing ARDS should be prevented actively and diagnosed early. Causes of ARDS should be eliminated while correcting hypoxia. For patients with ARDS induced by infection , empiric high effective and wide-spectrum antibiotics should be applied early. |
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