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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。
This article analyzes the relationship between blood changes in 220 patients with hematological diseases and body surface, fundus hemorrhage and cerebral hemorrhage. The results showed that: when iron deficiency anemia long-term hemoglobin less than 60g / L, accounting for 47% of fundus hemorrhage, but no clinical occurrence of cerebral hemorrhage, the body surface without bleeding changes. Idiopathic thrombocytopenic purpura (ITP), the degree of thrombocytopenia and body surface bleeding, and the fundus generally no change. Aplastic anemia and ITP combined with hemorrhagic anemia, body surface and fundus bleeding were consistent. When platelets <30 × 10 ~ 9 / L, while hemoglobin <60g / L, the fundus hemorrhage up to 98%, clinical cerebral hemorrhage accounted for 92.5%, and fatal intracerebral hemorrhage and more efficient and bleeding tendency and other factors.