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- W3031170059 abstract "目的探讨儿童急性淋巴细胞白血病（ALL）化疗后合并结核性脑膜炎（TBM）的临床特点及诊治。方法回顾性分析福建医科大学附属协和医院2014年9月收治的1例ALL维持化疗中合并肺结核及TBM患儿的临床资料，并复习相关文献。结果患儿，男性，11岁，确诊ALL 27个月，维持化疗中，出现中性粒细胞缺乏伴发热，予抗感染、抗真菌及甲泼尼龙治疗后，体温一度正常；1个月后再次发热，伴咳嗽、头痛，予抗感染、抗真菌治疗无好转，头痛加剧，并出现颈项强直，肺部CT示上肺及下肺背段炎症，脑脊液结核TB-DNA、结核分枝杆菌培养均阳性，确诊继发性肺结核、结核性脑膜炎，予规则抗结核治疗1.5年，病情治愈。结论儿童ALL合并TBM的早期诊断是难点，及时、长疗程抗结核治疗，适当兼顾白血病化疗，仍可取得较好的抗结核病疗效，且不影响白血病预后。" @default.
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- W3031170059 date "2018-07-25" @default.
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- W3031170059 title "Childhood acute lymphoblastic leukemia complicated with tuberculous meningitis after chemotherapy: report of one case and review of literature" @default.
- W3031170059 doi "https://doi.org/10.3760/cma.j.issn.1009-9921.2018.07.010" @default.
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