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急性髓系白血病患者血小板输注的阈值探讨 被引量:2

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摘要 目的:探讨急性非淋巴细胞白血病(AML)患者输注血小板的阈值。方法:回顾分析180例AML患者的临床资料,依据血小板数值大小将患者分为3组,比较患者在接受诱导缓解化疗、巩固化疗及强化化疗期间血小板计数<20×109/L、10×109/L、5×109/L的出血表现。结果:血小板≤5×109/L组与血小板小板≤10×109/L组及血小板≤20×109/L组比较无出血事件发生率减少,轻微出血事件及严重出血事件的发生率无明显升高,最长中位存在时间为7d。结论:血小板等于5×109/L做为AML的血小板输注阈值是安全的。部分伴发热、高白细胞血症的AML患者血小板输注的指征可定为10×109/L或更高。
作者 周淑亚 曹琰
出处 《陕西医学杂志》 CAS 2012年第10期1353-1354,共2页 Shaanxi Medical Journal
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