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急性白血病是造血系统的恶性肿瘤之一,而急性白血病的肺部病变在临床是经常遇见的。这些病变可以是其恶性疾病本身在肺部引起的浸润;也可以在疾病的进展和治疗过程(特别是抗白血病药物和肾上腺皮质激素的应用)中,因机体免疫功能受损而产生其它继发病变;或者由于细胞毒药物对肺部的直接损害。它们往往影响着患者的预后,有时甚至可以成为患者致死原因。现报道2例已达完全缓解的急性白血病患者,因其肺部病变的存在,突然大咯血窒息死亡。并就有关文献进行复习。
Acute leukemia is one of the malignant tumors of the hematopoietic system, and lung lesions of acute leukemia are often encountered in the clinic. These lesions can be the infiltration of the malignant disease itself in the lungs; also in the progression of the disease and the treatment process (especially the application of anti-leukemia drugs and adrenocorticotropic hormone), due to the damage of the body’s immune function and other secondary Lesions; or due to direct damage to the lungs by cytotoxic drugs. They often affect the patient’s prognosis and can sometimes be the cause of death. Two patients with acute leukemia who have achieved complete remission have been reported. Due to the presence of lung lesions, they suddenly died of hemoptysis. And review the relevant literature.