Clerc M, Doh-Egueli D, Chapuis F, Durin A, Bertrand Y, Souillet G, Philippe N
Unité d'hématologie pédiatrique, hôpital Debrousse, Lyon, France.
Pediatrie. 1989;44(7):577-81.
Sickle-cell disease is usually complicated by vaso-occlusive attacks. A review of the case-histories of 26 patients permitted an analysis of 92 severe attacks. We compared the outcome of 52 attacks treated with hyperhydration associated with a modifying erythrocyte membrane agent (pentoxifylline), with 40 attacks treated with hyperhydration and other drugs. This result compares well the current knowledge of the rheologic mechanisms involved in vaso-occlusive attacks of sickle-cell disease.
镰状细胞病通常会并发血管阻塞性发作。对26例患者的病历进行回顾,得以对92次严重发作进行分析。我们比较了52次采用与红细胞膜修饰剂(己酮可可碱)联合的水化疗法治疗的发作结果,以及40次采用水化疗法和其他药物治疗的发作结果。这一结果很好地比较了目前对镰状细胞病血管阻塞性发作所涉及的流变学机制的认识。