急性再生障碍性贫血按病期中西医结合治疗10例报告

再生障碍性贫血的疗效,随着疗法的改进,有效率不断提高,但死亡率仍然很高。据杨氏统计至1974年国外资料890例死亡率高达49～98%,平均68.4%,国内880例之死亡率为13～36%,平均24.2%。1979年,马兰芳等报告,急性再生障碍性贫血(下称急性再障)的死亡率为61.5%。1978年2月～1981年1月,我院收治急性再障10

10 Cases of Acute Aplastic Anemia with TCM-WM Treatment

At present,effective methods in the treatment of acute or severe aplastic anemia are rarely reported homo and abroad.The mortality of 61.5% reported by Ma Lanfang et al.is quite high.According to the clinical manifestations and pathological features of the acute aplastic anemia and clinical practice,the whole course of the disease was divided into three stages,i.e.,(1) the acute stage,(2)the stable stage,and(3)the remission stage.Then the disease was treated with the combined method of Chinese and western medicine,good results were achieved with five cases under basic recovery and remission and the other five markedly improved.There was not a single case of death.Emphasis has been laid on the clinical significance of treating acute aplastic anemia according to its different stages;the appropriate combination of Chinese and western medicines;and the importance of keeping explosive cases in rigid isolation.The value and the possible mechanism of LU-RONG(gervus) injection and cortisol in the treatment or acute aplastic anemia have also been discussed.