CAJ | 학술논문

目的:探讨研究慢性再生障碍性贫血向急性单淋混合细胞白血病的转化.方法:选取我院1名中年女性患者,45岁.1997年1月因“面色苍白、乏力、头晕眼花20天”来院就诊,对患者进行入院体检及辅助检查.2011年12月患者因“头晕乏力10天”再次入院,对患者进行血常规、骨髓细胞学检查.结果:1997年1月诊断为慢性再生障碍性贫血.2011年诊断考虑为急性白血病(考虑为单淋混合型).结论:本例患者多次血象、骨髓象及严格鉴别诊断符合慢性再生障碍性贫血诊断,治疗多年后转化为急性单淋混合细胞性白血病,故再生障碍性贫血不是一种不会进展及转化的疾病.
목적:탐토연구만성재생장애성빈혈향급성단림혼합세포백혈병적전화.방법:선취아원1명중년녀성환자,45세.1997년1월인“면색창백、핍력、두훈안화20천”래원취진,대환자진행입원체검급보조검사.2011년12월환자인“두훈핍력10천”재차입원,대환자진행혈상규、골수세포학검사.결과:1997년1월진단위만성재생장애성빈혈.2011년진단고필위급성백혈병(고필위단림혼합형).결론:본례환자다차혈상、골수상급엄격감별진단부합만성재생장애성빈혈진단,치료다년후전화위급성단림혼합세포성백혈병,고재생장애성빈혈불시일충불회진전급전화적질병.
Objective:To study the chronic aplastic anemia into acute single drench mixture cell leukemia.Methods:The patients with a middle-aged women our,45 years old.In January 1997 for “pale,lack of power,giddy just 20 days” to the clinic,the patients were admitted to the hospital for medical and auxiliary examination.In December of 2011 patients because of “dizzy fatigue 10 days” hospital readmission and for patients with routine blood,bone marrow cytologic examination.Results:In January 1997 for diagnosis of chronic aplastic anemia.2011 years for acute leukemia diagnosis consider (consideration for single drench mixed).Conclusion:The patients adopted many times,bone marrow and differential diagnosis accord with strict as chronic aplastic anemia,diagnosis, and treatment after many years into single drench mixed cell sex acute leukemia,so aplastic anemia is not a will not progress and the transformation of the disease.