200例急性白血病出血证治

DIFFERENTIATION AND TREATMENT OF 200 CASES OF HEMORRHAGE OF ACUTE LUEKEMIA

对200例急性白血病出血的临床资料进行总结分析,表明急性白血病的出血以肌衄最为多见,其次为鼻衄,再次为眼底出血,第四为齿衄。辨证治疗以虚实为大纲,具体运用10种治法,总有效率为66.67%。并发现急性白血病出血部位不同、中医分型不同,疗效亦不同;呕血易治,尿血难疗;崩漏易治,颅内出血难疗(P<0.05)。实热出血易治,虚热出血难疗;热毒壅滞、血虚气弱型易治,阴虚内热、血虚血瘀型难疗(P<0.05、P<0.01)。

200 cases of hemorrhage of acute leukemia show that muscle,nose,eyeground and teeth are easy to bleed in order.After treating with Chinese drugs,total effect rate is 66.67%.Types of the cases according to TCM differentiation influence the curative effect,Hematemesis and metrorhagia are easy to be controlled,but hematuria and intracranial hemorrhage are not so easy to be controlled (P<0.05).Yin deficiency and blood deficiency are difficult to be controlled.