再生障碍性贫血患者重复给予小剂量抗-Rh丙种球蛋白治疗出血

来源 :国外医学.输血及血液学分册 | 被引量 : 0次 | 上传用户:ccc1A2B3C
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作者报告1例再生障碍性贫血患者的血小板减少所致出血以抗-Rh血清治疗取得成功。患者女性,58岁,1980年3月因血小板减少发生出血,随后发现其骨髓细胞少,血小板体积小。开始患者对康复龙治疗有效,血小板从3500/μl上升到134000/μl,血红蛋白从6.9g/dl上升到14g/dl。14个月后停药,患者复发,血小板降低。1985年11月给予静脉注射丙种球蛋白治疗,血小板一度上升到60000/μl,随后血小板降低,作脾切除后亦无效。患者出血严重而需反复输注 The authors report a case of aplastic anemia in patients with thrombocytopenia bleeding with anti-Rh serum treatment success. The woman, 58 years old, had hemorrhage due to thrombocytopenia in March 1980 and subsequently found less bone marrow cells and small platelets. Patients were initially treated with Rehabilitation Dragon, platelets increased from 3500 / μl to 134000 / μl, and hemoglobin rose from 6.9g / dl to 14 g / dl. After 14 months withdrawal, patients relapse, thrombocytopenia. November 1985 given intravenous gamma globulin treatment, once the platelet rose to 60,000 / l, followed by thrombocytopenia, splenectomy is also invalid. Severe bleeding patients need repeated infusion
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