Thirty-five patients of infantile purpura nephritis (IPN) were treated with integrated traditional Chinese and western medicine (TCM-WM) from January 1994 to December 1998, with good efficacy obtained, and following is the report.METHODSClinical Data　　All the 65 cases were inpatients, and conformed to the “Standards of the Diagnosis and Therapeutical Effect of Hematological Diseases” (edited by ZHANG Zhi-nan. Tianjin: Tianjin Science and Technology Press, 1999∶235-239). They were randomly divided into two groups: Treated group: 35 cases, 23 males, 12 females; aged 4-13 years, 7 years on average; disease course 4-18 days, the mean 10 days; mild type 19 cases (asymptomatic hematuria, proteinuria), nephritis syndrome type 13 cases (hematuria, proteinuria, edema, hypertension), and nephrotic syndrome type 3 cases (typical manifestation of nephrosis complicated with renal insufficiency). Control group: 30 cases, 20 males, 10 females; aged 3-14 years, 6 years on average; disease course 3-16 days, the mean 9 days; mild type 16 cases, nephritis syndrome type 10 cases, nephrotic syndrome type 4 cases. The clinical manifestation, sex, age, hospitalisation time of these 2 groups showed insignificant difference.Method of Treatment　　The control group: Adopting intravenous dripping of dexamethasone 0.3-0.5 mg*kg-1*d-1, consecutively for 5-7 days, which was then shifted to prednisone 1-1.5 mg*kg-1*d-1, altogether 2-3 weeks, with Vit C, persantin, chlorphenamine, calcium, etc., orally taken.　　The treated (TCM-WM) group, on the basis of the above-mentioned WM treatment, had also TCM syndrome differentiation performed, and were classified into 3 types:

规范常见血液病中医病名建议

由于中医、西医理论体系的不同,血液病的中医、西医病名混淆之处甚多.因此,规范血液病中医病名,不仅便于临床医师、科研人员临床规范应用,利于学术交流,更有利于与国际接轨.基于血液病领域的中医临床学术理论发展需求以及从事中医的血液病临床工作者的迫切愿望,经过多年的临床实践,在中国中西医结合学会血液学专业委员会主持召开的两次全国性会议酝酿讨论的基础上,中国中西医结合学会血液病专业委员会与中华中医药学会内科分会血液病专业组于2008年10月17-19日联合召开了由全国部分高校、研究院所从事血液病临床与科研的专家、教授(科主任)参加的常见血液病中医病名专题讨论会,现将讨论结果以及相关共识报道如下.

老年血液病诊疗进展概述

随着时代的推进,医学科学与社会科学的发展,人类的平均寿命日趋延长.在我国,平均寿命由解放前的30余岁增加到目前的70岁左右,超过60岁的老年人在总人口中的比例在1982年为7.6%,预测到2025年将增加至19.2%.在欧美发达国家由于出生率与死亡率均较低,人口呈长方形分布,预计在21世纪80岁与60岁的老年人将呈1.1:1的比例.老年人的血液、骨髓造血功能、凝血功能以及免疫器官均可因年龄的增长而发生各种变化.本文将就老年人血液病近年来的进展作一概述.

血液病相关出血的诊断与处理进展

出血是急诊患者常见的症状之一,其严重性不仅取决于出血的缓急、出血量及部位,也与引发出血的基础疾病密切相关.出血可起因于血液系统疾病,也可见于非血液病.一般非血液病引发的出血,其处理较为简单;而与血液病相关的出血,如未能充分重视及采取有效治疗措施,可能造成严重后果.