慢性髓系白血病并原发性骨髓纤维化1例
A case report of chronic myeloid leukemia complicated with primary myelofibrosis
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1.重庆市中医院重症医学科,重庆 400020
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魏裕红, 徐健众. 慢性髓系白血病并原发性骨髓纤维化1例[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34989113&Fpath=home&index=0
WEI Yuhong, XU Jianzhong. A case report of chronic myeloid leukemia complicated with primary myelofibrosis[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34989113&Fpath=home&index=0
魏裕红, 徐健众. 慢性髓系白血病并原发性骨髓纤维化1例[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34989113&Fpath=home&index=0 DOI:
WEI Yuhong, XU Jianzhong. A case report of chronic myeloid leukemia complicated with primary myelofibrosis[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34989113&Fpath=home&index=0 DOI:
病史摘要,2,患者,女,70岁,西医确诊慢性髓系白血病、原发性骨髓纤维化、重度贫血(52 g/L),长期服用分子靶向药物伊马替尼(4片)、芦可替尼(3片),定期输注红细胞悬液纠正贫血。患者因靶向药物治疗后膝、踝、肩关节疼痛,骨痛,行走无力,时眩晕、口腔溃疡,纳眠差,大便干结就诊。查舌暗红,有瘀斑,苔白厚,脉沉细涩,尺弱。中医诊断 虚劳(肝肾亏虚,瘀毒湿滞证)西医诊断 慢性髓系白血病、原发性骨髓纤维化、重度贫血干预措施 以补益肝肾、运脾利湿、化瘀解毒为治法,以经验方醒髓煎为基础方临证加减治疗3年余。疗效转归 患者乏力、关节及骨痛症状改善明显,调整靶向药物伊马替尼(2片)、芦可替尼(2片),中药治疗期间未再输注红细胞悬液,血红蛋白波动在70~80 g/L。
Summary of case history, The patient, female, 70 years old, was diagnosed with chronic myeloid leukemia, primary myelofibrosis, and severe anemia (52 g/L). She was taking molecular targeted drugs imatinib (4 tablets) and ruxolitinib (3 tablets) for a long time, regular infusion of red blood cell suspension to correct anemia. After targeted drug treatment, the patient presented to Xu Jianzhong's TCM outpatient clinic for pain in the knee, ankle and shoulder joints, bone pain, weakness in walking, dizziness, oral ulcers, poor sleep, dry stools, dark-red tongue with thick white coating, ecchymosis, and deep-thin-astringent pulse.,TCM diagnosis, Consumptive disease (deficient liver and kidney, stasis of poison and dampness),Western medicine diagnosis, Chronic myeloid leukemia, primary myelofibrosis, severe anemia,Therapeutic methods, Taking nourishing liver and kidney, invigorating the spleen and removing dampness, removing blood stasis and detoxification as the treatment method, and using the empirical formula Xingsui Decoction as the basis for clinical modification and subtraction treatment for more than 3 years.,Clinical outcomes, The patient was fatigued, and the symptoms of joint and bone pain were significantly improved. The targeted drugs imatinib (2 tablets) and ruxolitinib (2 tablets) were adjusted. The red cell suspension was not infused during the traditional Chinese medicine treatment, and the hemoglobin fluctuated at 70-80 g/L.
慢性髓系白血病原发性骨髓纤维化醒髓煎徐健众
chronic myeloid leukemiaprimary myelofibrosisXinsui DecoctionXU Jianzhong
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