泗水Soetomo医生医院急性淋巴细胞白血病患者临床和实验室概况的流行病学研究

Kezia Warokka Putri, I. Ugrasena, Y. Hernaningsih
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引用次数: 1

摘要

简介:考虑到急性淋巴细胞白血病(ALL)的高数量,它是儿童中死亡率最高的癌症类型,本研究旨在确定ALL患者临床和实验室资料的流行病学描述。方法:采用描述性研究方法,利用急性淋巴细胞白血病患者病历资料进行研究。研究变量为性别、年龄、患者家族白血病史、营养状况、症状体征、实验室检查、ALL亚型、危险因素、结果结局。所有数据均以描述性方式呈现。结果:50例患者中,男性占54%,年龄在1、5 ~ 10岁。84%的患者家属没有白血病相关的医疗记录。42%的患者营养不良。面色苍白(78%)、发热(64%)、疼痛(32%)、肝肿大(38%)、淋巴结病(28%)、脾肿大(26%)、贫血(82%)、白细胞增多(38%)、血小板减少(54%)。最高的类型是ALL-LI (68%), SR-ALL(54%),缓解结果达到82%。结论:男性居多,年龄在1、5 ~ 10岁,诊断之初营养不良。大多数患者的家庭没有白血病病史。主要表现为面色苍白、发热、骨/关节疼痛。体格检查显示肝肿大、淋巴结肿大、脾肿大,实验室首次检查显示患者有贫血、白细胞增多、血小板减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiological Study of Clinical and Laboratory Profiles of Patients with Acute Lymphoblastic Leukemia at Dr. Soetomo Hospital Surabaya
Introduction: Considering the high number of acute lymphoblastic leukemia (ALL) and it being the type of cancer with the highest fatality rate among the children, this study seeks to determine the epidemiological description of the clinical and laboratory profiles of patients with ALL.Methods: This research used a descriptive study by using medical data record of patients with ALL. The research variables were gender, age, leukemia history of the patient’s family, nutritional status, symptoms and signs, laboratory examination, ALL subtypes, risk factors, and result outcomes. All data presented descriptively.Results: From a total of 50 patients, 54 % of them were male aged 1,5 – 10 years old. 84% of the patients’ family had no medical record related to leukemia. 42% of the patient malnutrition. Pale (78%), fever (64%), pain (32%), hepatomegaly (38%), lymphadenopathy (28%), splenomegaly (26%), patients with anemia (82%), leukocytosis (38%), thrombocytopenia (54%). The highest types were ALL–LI (68%), SR-ALL (54%), and remission outcome reached 82%.Conclusion: Insidence higher in male, aged 1,5 – 10 years old, malnourished at the start of the diagnosis. Most of the patients’ family had no medical history of leukemia. Symptoms and medical signs mostly appeared were pale, fever, and bone/joint pain. The physical examination showed hepatomegaly, lymphadenopathy, and splenomegaly and laboratory first test showed the patients had anemia, leukocytosis, and thrombocytopenia.
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