目的 :了解小儿急性白血病初发常见症状中口腔表现的发病情况。方法 :对 32 0例小儿急性白血病初诊患者 ,通过病史询问和体检 ,确定其首发症状中口腔病变发生的情况。结果 :在 32 0例小儿急性白血病初发常见症状中首先出现在颌面部者有 38例 (11 9% ) ,其中各种出血 18例 (4 7 4 % ) ,各种感染 11例 (2 8 9% ) ,腮腺肿胀 6例 (15 8% )。结论 :口腔颌面部的出血、感染、腮腺肿胀可以是小儿急性白血病的初发常见症状的表现形式 Objective: To understand the common symptoms of pediatric acute leukemia in the incidence of oral manifestations. Methods: A total of 320 newly diagnosed pediatric acute leukemia patients were examined by medical history and physical examination to determine the occurrence of oral cavity lesions in their first symptom. Results: Thirty-eight cases (119%) were found in the maxillofacial region in the first 30 cases of acute onset of pediatric acute leukemia, including 18 cases (474%) of all kinds of bleeding, 11 cases of various infections 8 9%), parotid gland swelling in 6 cases (15 8%). CONCLUSIONS: Oral and maxillofacial hemorrhage, infection, and parotid gland swelling may be common manifestations of initial symptoms of pediatric acute leukemia