以多饮多尿为首发症状的急性非淋巴细胞白血病1例  

A case of acute non-lymphocytic leukemia with polydipsia and polyuria as the first symptom

作　　者：牛彤 杨文娟 李高 白海 NIU Tong;YANG Wenjuan;LI Gao;BAI Hai.(Gansu University of Traditional Chinese Medcine, Lanzhou 730030,China;The 940th Hospital of Joint Logistic Support Force of PLA)

机构地区：[1]甘肃中医药大学,甘肃兰州730030 [2]解放军联勤保障部队第940医院

出　　处：《西北国防医学杂志》2020年第12期788-789,共2页Medical Journal of National Defending Forces in Northwest China

基　　金：甘肃省科技重大专项资助项目(1102FKDA005)。

摘　　要：目的:探讨急性髓细胞性白血病(acute myeloid leukemia,AML)的发病特点,以提高临床医生对该病的认识。方法:对1例以多饮多尿起病的AML患者的临床资料进行回顾分析并复习相关文献。结果:患者因口干、多尿入院,病初在外院行头颅CT未见异常,血常规提示白细胞升高,在我院行骨髓穿刺确诊为AML。结论:AML除广泛浸润髓外脏器外,还可累及神经系统,并发尿崩症,若临床发现不明原因的尿崩症,要考虑到白血病的可能,避免误诊。Objective:To explore pathogenetic characteristics of acute myelogenous leukemia(AML),in order to improve the awareness of the disease.Methods:Clinical data of one AML patient with polydipsia and polyuria was retrospectively analyzed,and related literature was also reviewed.Results:The patient was admitted to the hospital due to dry mouth and polyuria.At the beginning of the disease,he was no abnormality in the head CT in the external hospital.The blood routine showed that the white blood cells were elevated.The bone marrow aspiration was diagnosed as AML in our hospital.Conclusion:In addition to extensive infiltration of extramedullary organs,AML can also involve the nervous system and complicated with diabetes insipidus.If the clinical findings unexplained diabetes insipidus,we should consider the possibility of leukemia in these patients and avoid misdiagnosis.

关 键 词：急性非淋巴细胞白血病 中枢性尿崩症 肾性尿崩症 

分 类 号：R733.71[医药卫生—肿瘤]