220例血液病患者血象改变与体表、眼底出血及脑出血关系的分析

Relationshin Between Blood Pictule Changes and Body Surface, Fundal Hemorrhage and Cerebral Hemorrhage in 220 Cases of Hematologic Diseases

本文分析了220例血液病患者血象改变与体表、眼底出血及脑出血相互关系。结果显示:缺铁性贫血病人当血红蛋白长期低于60g/L时,眼底出血占47％,但临床无脑出血发生,体表无出血改变。特发性血小板减少性紫癜(ITP),其血小板减少程度与体表出血有关,而眼底一般无改变。再生障碍性贫血与ITP合并失血性贫血时,体表与眼底出血呈一致关系。当血小板<30×10~9/L、同时血红蛋白<60g/L时,眼底出血高达98％,临床脑出血占92.5％,而致死性脑出血发生多与高效及出血倾向加重等因素有关。

Changes of blood picture related to bleeding of the skin, fundus oculi and brainwere analyzed in 220 cases of blood diseases. Results showed, in iron deficient anemiawith prolongedly low hemoglobin below 60g/L, fundus oculi bleeding occurred in 47%,but bleeding of the brain and skin were not found. In idiopathic thrombocytopenicpurpura, the degree of pletelet decline was related to bleeding of the skin, but fundusoculi did not change generally. In aplastic anemia and idiopathic thrombocytopenicpurpura accumpanied by anemia due to loss of blood, bleeding of the skin and fundusoculi were consistent when the platelet count was smaller than 30×10~9/L with he-moglobin less than 60g/L, the incidence of fundus oculi bleeding was as high as 98%.Cerebral hemorrhage occurred in 92.5%, but fatal cerebral hemorrhage was relatedmainly to high fever and aggravation of bleeding tendency.