38例非霍奇金淋巴瘤并发白血病临床分析

38 cases of non-Hodgkin's lymphoma complicated with Leukemia

目的:探讨非霍奇金淋巴瘤并发白血病的临床特点、诊断及治疗。方法:分析38例非霍奇金淋巴瘤并发白血病的临床资料。结果:38例非霍奇金淋巴瘤性白血病患者主要表现为发热、贫血、出血、淋巴结无痛性肿大、肝脾肿大。恶性淋巴瘤患者出现上述症状及体征伴白细胞增高或减少、血小板下降时,应高度警惕白血病的发生,要尽早作骨髓检查,力争早期诊断,以防漏诊。结论:非霍奇金淋巴瘤性白血病晚期,病情发展迅速,生存期短,应进一步探索更佳治疗方案,以提高疗效。

Objective： To explore the concurrent non-Hodgkin＇s lymphoma leukemia,the clinical features,diagnosis and treatment.Methods： The clinical data of 38 patients with non-Hodgkin＇s lymphoma and leukemia were analyzed.Results： 38 cases of non-Hodgkin＇s lymphoma,leukemia mainly fever,anemia,bleeding,painless lymph node enlargement,hepatosplenomegaly.We think： malignant lymphoma patients with the symptoms and signs of increase or decrease in white blood cells,thrombocytopenia,should alert the occurrence of leukemia,bone marrow examination should be made as soon as possible,and strive to early diagnosis and prevent misdiagnosis.Conclusion： Non-Hodgkin＇s lymphoma leukemia in the late rapid progression of the disease,survival is short,more treatment programs should be further explored to enhance the effect.