書誌事項
- タイトル別名
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- Successful Combined Treatment with Kampo-herbal Medicine (Xiao-Chai-Hu-Tang and Jia-Wei-Gui-Pi-Tang) and High-dose Methylprednisolone in a Severe Case of Hepatitis-associated Aplastic Anemia.
- カンポウヤク ショウサイコトウ + カミ キ ヒ トウ ト メチルプレドニゾロ
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Abstract Combined treatment with high-dose methylprednisolone and Kampoherbal medicine (Xiao-Chai-Hu-Tang and Jia-Wei-Gui-Pi-Tang) brought about a striking clinical improvement in a 24-year-old woman with severe hepatitis-associated aplastic anemia. Laboratory findings on admission were summarized as follows: granulocytes 325/μl, erythrocytes 2, 450, 000/μl, platelets 10, 000/μl, bone marrow nucleated cells 27, 000/μl, and GPT 569IU/l. Neither anti-lymphocyte globulin, high-dose methylprednisolone alone nor oxymetholone was effective on any hematological finding although intravenous administration of high-dose glycyrrhizin improved the liver dysfunction. The patient needed repeated transfusions of leukocyte-poor washed red blood cells and HLA-matched platelet concentrates for a period of 1.5 years until the hematopoietic function recovered 3 months after combined treatment with high-dose methylprednisolone and Kampo-herbal medicine. Laboratory findings on discharge were as follows: granulocytes 1, 050/μl, erythrocytes 3, 460, 000/μl, reticulocytes 100, 000/μl, platelets 47, 000/μl, bone marrow nucleated cells 118, 000/μl, and GPT 52IU/l. Six months later hematopoietic depression recurred, and this combined treatment was performed again with favorable response.
収録刊行物
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- 日本東洋医学雑誌
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日本東洋医学雑誌 42 (3), 361-366, 1992
一般社団法人 日本東洋医学会
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詳細情報 詳細情報について
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- CRID
- 1390282679886017280
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- NII論文ID
- 130001416815
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- NII書誌ID
- AN00015774
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- ISSN
- 1882756X
- 02874857
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- NDL書誌ID
- 3763517
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
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- 使用不可