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血浆置换术治疗异基因骨髓移植后纯红细胞再生障碍性贫血(附1例报告)
引用本文:张义成,宋善俊,邹萍,胡俊斌,李珺. 血浆置换术治疗异基因骨髓移植后纯红细胞再生障碍性贫血(附1例报告)[J]. 临床血液学杂志, 1995, 0(2)
作者姓名:张义成  宋善俊  邹萍  胡俊斌  李珺
作者单位:同济医科大学血液病研究所
摘    要:本文报告1例重症再生障碍性贫血患者因接受ABO血型不合供体的异基因骨髓移植后并发纯红细胞再生障碍性贫血。采用血浆置换术2次,共置换出患者体内血浆3.2L后,血清抗"A"血型抗体滴度由1∶64下降至1∶8,骨髓幼红细胞比分逐渐上升,由血浆置换术前的0.005上升至术后12周的0.21;红细胞输注量逐渐减少,血红蛋白逐渐升高,患者目前已完全恢复正常2年余。

关 键 词:血浆置换术  异基因骨髓移植  贫血.纯红细胞再生障碍性

Treatment of Pure Red Cell Aplasia Post Allogeneic Bone Marrow Transplantation with Plasmapheresis
Zhang Yicheng, Song Shanjun, Zou Ping, et al. Treatment of Pure Red Cell Aplasia Post Allogeneic Bone Marrow Transplantation with Plasmapheresis[J]. Journal of Clinical Hematology, 1995, 0(2)
Authors:Zhang Yicheng   Song Shanjun   Zou Ping   et al
Abstract:A patient with severe aplastic anemia received ABO incompatible allogeneic bone marrow transplantation; After transplantation, the patient complicated with pure red cell aplasia. We treated the patient with plasmapheresis and exchanged 3.2 liters of plasma, The anti "A" isoagglutinin titre decreased from 1: 64 to 1: 8 postpheresis; The percentage of bone marrow erythroblast increased from 0.005 to 0.21; the RBC requirement was greatly declined and the hemoglobin has became normal for 2 years.
Keywords:Plasmapheresis Pure red cell aplasia Allogeneic bone marrow transplantation
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