백혈병 73례에 대한 임상고찰 및 검사소견에 관한 검색
A Clinical and Laboratory Evaluation of 73 Cases of Leukemia.
박흠례, 李容周, 이용주,
소속 상세정보
박흠례 ( )
고려대학교 의과대학 병리학교실
李容周 ( )
고려대학교 의과대학 병리학교실
이용주 ( )
고려대학교 의과대학 병리학교실
KMID : 0357919780120040391
Abstract
Seventy three cases of leukemia admitted to the Korea University Hospital during the
last 8 years, from January 1971 to July 1978, were analyzed on the basis of age and
sex distribution, type, initial symptomes, initial physical findings and laboratory findings.
The results are as followings.
1. The most frequent age group of leukemia was under 10 year group and difference of
sex ratio was not found.
2. The ratio of acute to chronic in overall cases was 12 : 1 and the most common type
among overall cases was acute myelocytic type.
3. The distrbution of each type of crises by age group revealed that the lymphocytic
type being most common in under 10 year group. Acute and chronic myelocytic type
show even distribution in each age group from under 10 year group to 6th decade
group.
4. Chief complaints were bleeding tendency, pain, fever, fatigue and pale face in order
of frequency.
5. The most frequent finding in initial physical examination was bleeding
tendency(58.6%) in acute myelocytic type and hepatomegaly(81.5%) in acute lymphocytic
type.
6. In initial laboratory examination, hemoglobin level under l0gm % was noted in 89.7%
of acute myelocytic leukemia, 96.3% of acute lymphocytic leukemia and 80% of chronic
myelocytic leukemia cases. Leukocytosis over 10,000/mm3 was seen in
55.2% in acute myelocytic leukemia, 63% in acute lymphocytic leukemia and 100% in
chronic myelocytic leukemia. And thrombocytopenia under 100,000/mm3
was observed in 73.9% of acute myelocytic leukemia and 65.2% of acute lymphocytic
leukemia.
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