再生障碍性贫血(以下简称再障)是较常见的造血系统疾病,近年来对再障的治疗取得一定进展,疗效有所提高,预后有所改观。我们于1974年1月至1979年11月间用丙酸睾丸酮加中医辨证治疗再障54例,现报告于后,并对影响疗效的有关因素略作讨论。材料与分析一、一般资料: 54例皆符合1963年全国血液学学术会议拟订的再生障碍性贫血诊断标准。计男性29例,女性25例。年龄最小14岁,最大64岁。30岁以下34例,占半数以上。农民27例,工人9例,学生12例,教师3例,家庭妇女1例。原发性再障48例,继发性再障6例,其中3例与服氯霉素有关,3例与氯喹有关。二、治疗方法: 全组病例皆以丙酸睾丸酮加中医辨证治疗。丙酸睾丸酮按50毫克肌肉注射,每日或隔日一次。中医治疗以补肝肾、益气血为主。常用药物有黄芪、党参、当归、生、熟地、女贞子、枸杞子、首乌、补骨脂、鸡血藤等,随证加减。依据病情给予必要的抗感染、输血及其它支 Aplastic anemia (hereinafter referred to as aplastic anemia) is a more common hematopoietic system disease, in recent years the treatment of aplastic anemia has made some progress, efficacy has improved, the prognosis has changed. We in January 1974 to November 1979 with testosterone propionate plus TCM treatment of aplastic anemia in 54 cases, are reported later, and the factors that affect the efficacy of a little discussion. Materials and Analysis First, the general information: 54 cases are in line with the 1963 National Hematology Conference prepared aplastic anemia diagnostic criteria. 29 males and 25 females. Youngest 14 years old, maximum 64 years old. 34 under the age of 30, accounting for more than half. 27 farmers, 9 workers, 12 students, 3 teachers and 1 housewife. 48 cases of primary aplastic anemia, secondary aplastic anemia in 6 cases, of which 3 cases of taking chloramphenicol, 3 cases with chloroquine. Second, the treatment: all cases of testosterone propionate plus TCM treatment. Testosterone propionate 50 mg intramuscularly, daily or every other day. Chinese medicine to make liver and kidney, blood-based benefits. Commonly used drugs Astragalus, Codonopsis, Angelica, Health, Rehmannia, Ligustrum lucidum, medlar, Radix, psoralen, Millettia, etc., with the card addition and subtraction. According to the condition given the necessary anti-infection, blood transfusion and other branches