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药源性骨髓功能障碍临床上有应用某些药物史,病情进展快,常因继发严重感染、出血而死亡。本文就3例药源性骨髓功能障碍的治疗,总结我们的经验及教训。 1 病例介绍 例1,女,32岁,因发热2天在当地县医院用“氯霉素”治疗2天无效,继而出现呕血、黑便转入我院。发病前无服药史。查体:T39.2℃,Bp14/8kPa,贫血貌,皮肤无出血点及瘀斑,咽充血,扁桃体Ⅰ°肿大,心肺正常,肝脾不大,血象:RBC2.4×10~(12)/L,
Drug-induced bone marrow dysfunction clinical application of certain drug history, rapid progression, often due to secondary serious infection, bleeding and death. In this paper, 3 cases of drug-induced bone marrow dysfunction treatment, summarize our experience and lessons learned. Case description 1 cases, female, 32 years old, 2 days due to fever in the local county hospital with “chloramphenicol” treatment for 2 days is invalid, followed by vomiting, black will be transferred to our hospital. Before the onset of medication history. Physical examination: T39.2 ℃, Bp14 / 8kPa, anemic appearance, no bleeding spots on the skin and ecchymosis, pharyngeal congestion, tonsil Ⅰ Ⅰ enlargement, normal heart and lungs, liver and spleen, blood: RBC 2.4 × 10-12 ) / L,