类白血病反应的病因及其鉴别诊断

ETIOLOGY AND DIFFERENTIAL DIAGNOSIS OF LEUKEMOID REACTION

本文就类白血病反应(简称类白)30例进行了分析。重点阐述及讨论了引起类白的病因及有关鉴别诊断问题。引起类白的主要病因有感染、肿瘤、中毒、大量出血等。但以感染多见,本组达53.3％。类白临床上并不罕见,有时易与白血病混淆,本文就类白血病的鉴别要点进行了讨论。

Thirty patients with leukemoid reaction (LR) admitted in our hospital from October, 1978 to October, 1985 were analyzed and the etiology and differential diagnosis of LR were mainly discussed. Among the cause of LR the majorities were infection, carcinoma, poisoning and massive hemorrihage, etc. The most impotant one was various infections, and it was up to 53.3 per cent in our series. The pathogenesis of LR caused by tuberculosis, malignant tumor were also discussed. LR is nor infrequently seen in clinical work. Sometimes, it can be confused with leukemia. On the basis of analysis of our LR cases, the main points for differential diagnosis between them were proposed.