摘要
目的探讨急性淋巴细胞白血病患者治疗过程中出现脾梗死等血栓栓塞疾病的临床表现及治疗。方法对1例急性淋巴细胞白血病患者治疗过程中出现脾梗死、全身多器官功能衰竭的临床治疗情况进行回顾性分析。结果患者脾栓塞后继发脾梗死、弥散血管内凝血,给予脾切除、血浆置换等积极对症治疗后,症状缓解,当继发症状完全缓解后继续规律化疗。结论加强临床医生对急性淋巴细胞白血病患者高凝状态的认识及监测,同时,当患者出现栓塞表现后,提高临床医生对患者进行抢救治疗。
Objective To investigate the clinical manifestations and treatment of acute lymphoblastic leukemia pa-tients with thrombosis embolism such as splenic infarction and embolism. Method 1 case acute lymphoblastic leuke-mia that occurred splenic embolization and multiple organ failure during the treatment was analyzed by retrospective. Result Patients with splenic embolism was treated with spleen excision, plasma exchange and other actively symp-tomatic treatment after secondary to splenic infarction, diffuse intravascular coagulation, and the symptoms was re-lieved. After the secondary symptoms complete remission,the patients were continued to rule chemotherapy. Con-clusion The high coagulation state in pediatric patients with acute lymphoblastic leukemia needs to be better under-stood and monitored, as well as the emergency treatment after embolism.
出处
《中国医刊》
CAS
2015年第8期74-77,共4页
Chinese Journal of Medicine
关键词
急性淋巴细胞白血病
脾栓塞
脾切除
Acute lymphoblastic leukemia
Splenic embolism
Splenectomy
