53例急性白血病患儿死亡原因及危险因素分析

Analysis in causes and risk factors of death in 53 children with acute leukemia

  • 摘要:
      目的  探讨急性白血病(AL)患儿在院死亡原因及危险因素。
      方法  将53例AL死亡患儿分为早期死亡组(n=23)和非早期死亡组(n=30),分析2组患儿死亡率、死亡原因及死亡危险因素。
      结果  早期死亡组以多器官功能障碍综合征(MODS)和感染为主要死亡原因,非早期死亡组以感染和出血为主要死亡原因。细菌性败血症是2组患儿感染死亡的主要原因,且以革兰氏阴性菌感染为主。 < 1岁、高白细胞计数及高血清乳酸脱氢酶水平是儿童AL死亡的高危因素(P < 0.05)。
      结论  针对儿童AL死亡的高危因素如 < 1岁、高白细胞计数及高血清乳酸脱氢酶水平,早期采取积极的防治措施或可降低患儿死亡率。

     

    Abstract:
      Objective  To explore the causes and risk factors of death in children with acute leukemia (AL) in hospital.
      Methods  Totally 53 dead children due to AL were divided into early death group (n=23) and non-early death group (n=30). The mortality, causes of death and risk factors of death were analyzed in both groups.
      Results  Multiple organ dysfunction syndrome (MODS) and infection were the main causes of death in the early death group, while infection and bleeding were the main causes of death in the non-early death group. Bacterial septicemia was the main cause of death in both groups, and Gram-negative bacteria infection was the main cause. Age less than 1 year old, high white blood cell count and high serum lactate dehydrogenase level were the high risk factors of death in children with AL (P < 0.05).
      Conclusion  For the high risk factors of death such as less than 1 year old, high white blood cell count and high serum lactate dehydrogenase level in children with AL, early implementation of active prevention and treatment measures may reduce the mortality of children.

     

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