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柳重威,陈如泉.中西医结合治疗急性药物性粒细胞缺乏症10例临床分析[J].中国中西医结合杂志,1983,(4):218-220,195
中西医结合治疗急性药物性粒细胞缺乏症10例临床分析
Clinical Analysis of 10-Cases of Acute Drug-Induced Agranulocytosis Treated by TCM-WM
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中文关键词:  粒细胞缺乏症  中西医结合治疗  药物性  粒缺  解热镇痛药  初步分析  中性白细胞  急性  骨髓检查  白细胞计数
英文关键词:
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作者单位
柳重威 湖北中医学院附属医院内科血液组 
陈如泉 湖北中医学院附属医院内科血液组 
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中文摘要:
      急性药物性粒细胞缺乏症(以下简称粒缺)发病急骤、经过险恶、预后不良。近年来对此症输注中性白细胞以及中西医结合治疗的报告日渐增多。本文就中西医结合治疗粒缺10例初步分析如下。
英文摘要:
      This paper has summed-up the experience gained in the treatment of acute drug-induced agranulocytosis(ADA)which had been clearly diagnosed by means of TCM-WM.ADA is mostly categorized in TCM as seasonal febrile diseases and laryngologic diseases.So far as the treatment based on the differentiation of symptoms and signs is cOncerned,it is very often analysed and differentiated by way of studying the change of the four stages:Wei(superficial defensive),Qi(secondary defensive),Ying (nutrient)and Xue(blood).According to the clinical symptoms of the cases,the administration of Chinese herbal medicines is characterized by expelling the evil factors from the surface of the body by acrid flavour and cool nature,promoting pharynx and detoxication,clearing up heat located at the nutrient system and eliminating heat,and cooling the blood and dissipating blood stasis respectively.Sometimes modified Gui Pi Tang(归脾汤)is used for the senile and weak patients,and/or to the deficiency of both vital energy and blood.Caseswithadditional Liu Shen Wan(六神丸),and localapplication of Xi Lei San(锡类散)or Bing Peng San(冰硼散).When a patient whose general condition is good and whose illness is found in the defensive system or with the vital energy,Chinese medicinal herb is first to be used.When illness is serious, the patient is treated too late,the general condition is not good or the disease develops from the exterior to the interior,the patient is always treated with TCM.WM.It is advisable to use proper transfusion,short course cortical therapy or selective antibiotics.We regard the combined treatment as another valuable way for the therapy of ADA.
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