急性白血病合并深静脉血栓5例报道并文献复习  

Acute leukemia complicating deep venous thrombosis:5 cases report and literature review

作　　者：胡成琳[1] 曾翰庆[2] 罗云[2] 娄世锋[2] 

机构地区：[1]重庆市中医院肿瘤血液科,400011 [2]重庆医科大学附属第二医院血液科,400010

出　　处：《重庆医学》2015年第14期1911-1912,1915,共3页Chongqing medicine

摘　　要：目的分析急性白血病合并深静脉血栓患者的临床特点,加深对此合并症的认识。方法回顾分析重庆医科大学附属第二医院血液科连续收治急性白血病患者的临床资料,调查深静脉血栓发生情况,并复习国外相关文献。结果该科于2011年7月至2014年3月间共收治急性白血病患者116例,其中急性髓细胞白血病85例,急性淋巴细胞白血病31例;共有5例患者发生深静脉血栓,占4.31%(5/116)。5例患者中急性早幼粒细胞白血病3例,急性淋巴细胞白血病2例。结论急性早幼粒细胞白血病患者深静脉血栓发生率相对较高,如有相应症状应及时诊治。Objective To analyze the clinical characteristics,diagnosis and treatment of acute leukemia complicating deep venous thromhosis（DVT） to deepen the cognition on this complication. Methods The clinical data of consecutive patients with acute leukemia were performed the retrospective analysis. The occurrence situation of deep venous thrombosis was investigated and the abroad related literatures were reviewed. Results A total of 116 cases of acute leukemia in our department from July 2011 to March 2014 were treated,in which 85 cases were acute myeloid leukemia and 31 cases were acute lymphoblastic leukemia; 5 cases developed DVT with the proportion of 4. 31% （5/116）. Of these eases,3 cases were acute promyelocytic leukemia and 2 cases were acute lymphoblastic leukemia. Conclusion The occurrence rate of DVT in the patients with acute promyelocytic leukemia is relatively higher, if the patients have the corresponding symptom, timely diagnosis and treatment should be conducted.

关 键 词：血栓形成 急性白血病 并发症 

分 类 号：R733.71[医药卫生—肿瘤]