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急性再生障碍性贫血能活多久?该怎么治疗?

发布时间:2016-08-21   问大夫  责任编辑:红豆

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急性再生障碍性贫血是仅次于白血病的人类健康杀手,它正在慢慢侵害着人们的健康。近年来越来越多的人患上急性再生障碍性贫血,更多的人开始关注急性再生障碍性贫血。急性再生障碍性贫血一些症状不明显,需要到医院进行检查,才能确定病症。患上急性再生障碍性贫血人群,都会及时的进行治疗,那么急性再生障碍性贫血能活多久,也是患者比较关注的问题。下面小编就这个问题给大家做一下简单的介绍。

急性再生障碍性贫血怎么治疗

急性再生障碍性贫血,发病急,病程短,患者从血常规完全正常到出现严重减少的白细胞,血小板的情况,可能不超过1个月,这让家属和患者都没有反应过来,就已经跌入万丈深渊,确实让人难以接受。

急性再生障碍性贫血病情重,需要紧急住院处理的重要原因就是其出现的严重粒细胞缺乏和血小板减少,随之带来的严重的难以控制的感染和重要脏器的出血,这对患者来说,就像是一个虚弱无力的战士还要抵挡如潮水般的敌人一样,简直是不可能的事情。

所以,本病十分凶险,它其实是以速度和效率取胜,打我们一个措手不及,还没有等我们组织好有效的防守,城池已经被攻陷。

所以治疗上也强调一个快字,治疗分抗胸腺细胞球蛋白与中西医结合2种主要治疗,其次还有骨髓移植,移植对于重型再障患者相当于是一种退路治疗方案,指的是疾病通过其他治疗无法达到效果才建议移植,是万不得已的选择。

其次,大部分的重型再障患者都接受过输血治疗,这里提及患者常问的一个问题,有很多病患都疑惑输血治疗什么时候可以停止,这里做下解答。

什么时候可以摆脱输血治疗,往往要看患者的病情情况,根据情况而定,一部分患者可在三月后停止,也有一部分患者可在六个月后停止,更有甚者,病情较为严重的部分患者可能难以摆脱输血治疗。

如果重型再障出现感染和出血,可能是致命的,所以要在出现这些情况之前让患者尽快达到临床治愈,是最关键的。

我们和国外的研究发现,急性再生障碍性贫血发现3个月内进行治疗的有效率明显提高,患者预后良好。希望大家都可以建立这个原则,早发现,早治疗。

急性再生障碍性贫血怎么预防

1、避免感染,尤其是感冒症状,临床上将病毒感染也作为诊断再生障碍性贫血的病因之一,比较常见的就是肝炎病毒,监床发现再生障碍性贫血多发于非甲非乙型肝炎,而与甲型肝炎无关。有些再生障碍性贫血患者发病前有感冒史,说明部分再生障碍贫血可继发于普通感冒之后。

2、用药上要科学,一定要严格按照相关的用药事项进药,切不可自行增减药量,最好是咨询相关的专家辅导用药,必要时可观察血象变化,以便及时停药。避免接触苯等有害化学物质。有超量饮用糖精导致再生障碍性贫血的报道,故宜少食糖精。患营养性贫血,应积极治疗,以免迁延不愈发展成再生障碍性贫血。

3、避免长期接触高辐射物质,因为人体长期处于辐射量高的环境中,就会导致体内全血红细胞减少,进而诱发血液病,所以长期处于放射工作的朋友,必须严格遵守操作制度,加强防护,这样可减少再生障碍性贫血发生的几率,避免过多照射发生。化学物质尤其是药物,是导致再生障碍性贫血的最常见因素,所以必须注意合理用药。

急性再生障碍性贫血的食疗方法

1、补髓汤:鳖1只,猪骨髓200克,生姜、葱、胡椒粉、味精各适量。将鳖用开水烫死,揭去鳖甲,去内脏和头爪;将猪骨髓洗净待用。将鳖肉放入铝锅内,加生姜、葱和胡椒粉,用武火烧沸,再用文火将鳖鱼煮熟,然后放入猪骨髓,煮熟加味精即成。吃肉,喝汤,亦可佐餐食用。滋阴补肾,填精补髓。适用于肾阴虚、头昏目眩、腰膝酸痛及再生障碍性贫血等症。

2、葱烧海参:水发海参500克,清汤250克,油菜心2棵,料酒9克,湿玉米淀粉9克,熟猪油45克,葱120克,酱油、味精、食盐各适量。将水发海参洗净,用开水氽一下,用熟猪油将葱段炸黄,制成葱油;海参下锅,加入清汤100克和酱油、味精、食盐、料酒,用微火炖烂。将海参捞出,放入大盘内,原汤不用。将菜心码放在海参上。锅内放清汤150克,再加酱油、味精、食盐、料酒等调料,用湿玉米淀粉勾芡,浇在海参、菜心上,淋上葱油即成。佐餐食。滋肺补肾,益精壮阳。适用于肺阴虚所致的干咳、咯血;肾阴虚所致的阳痿、遗精;血虚所致的再生障碍性贫血及糖尿病等。

3、海参散:海参250克切片,焙干研末。日服3次,每服9克。适用于再生障碍性贫血之头晕、腰酸、足软者。

4、花生衣汤:花生衣10克,水煎服。日服3次。适用于再生障碍性贫血之出血者。

5、二味糯米粥:荠菜花、血糯米(或粳米)50克,藕粉30(或鲜藕150),加水1000毫升,文火煨稠粥。每日早、中、晚三次分服,宜凉服。用治再生障碍性贫血之各种出血者。

急性再生障碍性贫血怎么护理

急性再障起病急,病情发展快,死亡率高。优良的护理能减轻病人的痛苦,且能较好的预防并发症的发生,对抢救病人,延长 急性再障患者生命均有重要作用,以下是急性再障的护理措施:

1、在急性期,病人严格卧床休息。在病情稳定后可适当活动。

2、注意饮食的选择:宜选择高蛋白、富含维生素、易消化的食品。高热或消化道出血病人应选择无渣半流或流质饮食,如稀饭、面条等。消化道大出血时应禁食。

3、注意做好心理护理:因起病急、病情重,病人的精神负担重,做好心理护理至关重要。病人亲属及医护人员要关心体贴病人,鼓励病人树立战胜疾病的信心。做好仔细耐心的解释工作,使病人主动配合治疗及护理工作。

4、注意保持口腔清洁:嘱病人饭后漱口,多饮水,必要时用含抗生素的漱口液。若口腔内有溃疡或炎症可局部涂抹药膏。

5、搞好病人的清洁卫生工作:因出汗、发热、皮肤可并发疖肿,应注意皮肤的清洁卫生,勤给病人洗澡,更换内衣。长期卧床病人应定时翻身,以防止褥疮发生。

急性再生障碍性贫血能活多久

急性再生障碍性贫血能活多久,针对这个问题并没有一个明确的说法,大部分人的存活时间一般都是在两个月当然这些只是做一个参考。一个人的体质都是不一样的医生所选择的方法都不一样,有的人在治疗过程中没有出现感染,所以也不会出现死亡的征兆。急性再生障碍性贫血发作一般都是比较快的,患者几乎来不及治疗就会出现其它的一些并发症,很有可能就会感染各种致病菌最后就会形成败血症,所以急性再生障碍性贫血的死亡率是比较高的,但是也有人会痊愈的。

再生障碍性贫血主要是人体的骨髓功能异常,这样就会导致患者出现贫血的症状,目前治疗再生障碍性贫血,主要是用一些药物的方法或者是用一些骨髓移植的方法,这两种方法治疗效果都是不错的,但是再生障碍性贫血患者免疫力一般都比较低下,为了避免出现感染一定要用一些增强免疫力的药物。

治疗再生障碍性贫血,一般都会用一些雄激素,其实雄激素主要是可以自己造血干细胞的分化。骨髓移植一般是可以彻底治愈再生障碍性贫血的,但是骨髓移植配型的几率是比较低的目前用的比较少。

以上所述再生障碍性贫血患者存活的时间一般都是在两个月,但是有的人存活时间会更长一些,当然这跟个人的体质有很大的关系,急性再生障碍性贫血的死亡率是比较高的,如果发现了一定及时到医院里面去接受治疗,在治疗期间可以选择性的给患者用增强免疫力的药物,避免出现一些其他的系并发症。在治疗期间一定不能够感染一些致病菌,不然出现死亡的几率还是比较高的。

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