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难治性特发性血小板减少性紫癜是指经皮质激素、脾切除术及一般性免疫抑制剂如环磷酰胺、硫唑嘌呤或长春新碱静脉注射等治疗均无效的特发性血小板减少性紫癜(ITP),可以试用下列方案治疗:1.长春新碱(VCR)缓慢静脉滴注 长春新碱静注无效的原因可能是药物自血中消失太快,以致很少与血小板结合。改用缓慢静脉滴注约80％以上的病人有效。方法:VCR2mg加入生理盐水500ml中缓慢静滴,维持8～12小时,每周1次,共4次。血小板于治疗后1～2周内开始上升。该
Refractory idiopathic thrombocytopenic purpura refers to the treatment of corticosteroids, splenectomy and general immunosuppressive agents such as cyclophosphamide, azathioprine or vincristine are ineffective idiopathic thrombocytopenia Purpura (ITP), you can try the following programs for treatment: 1. Vincristine (VCR) slow intravenous infusion of vincristine intravenous invalid may be due to drugs disappear from the blood too fast, so rarely with platelets. Use slow intravenous infusion of about 80% of patients effective. Methods: VCR2mg added 500ml of normal saline slow intravenous infusion, maintained 8 to 12 hours a week, a total of 4 times. Platelets begin to rise within 1 to 2 weeks after treatment. This