Objective To study the clinical effectives of red blood cell transfusion in patients with chronic aplastic anemia (CAA). Methods 425 CAA patients, from January 1995 to August 2007, were reviewed, and the rate of ineffective transfusions and its relationship to patients' age, sex, level of Hb before transfusion, times and volume of previous transfusions were analyzed.Results Of the 425 patients, ineffective transfusions occurred in 39 patients (9.2%). Of the 1 416 units of red blood cells transfused, 249 units (17.6%) were ineffective. The ineffective transfusions were not related to patients' age, sex or levels of Hb before transfusion, but were related to the times and volume of previous transfusions.Condusion In CAA patients, the more the times and the larger the volume of previous transfusions, the higher the rate of ineffective transfusion would occur.

Objectives To analysis the expression difference of eIF4E in bone marrow between the acute myeloid leukemia (AML) and the non-tumor patient,before and after induction therapy,and the different subtypes of AML,and to explore the relation between eIF4E and other molecular biology abnormalities in AML.Methods The bone marrow specimens of newly diagnosed AML and non-tumor control patients were collected.The expression level of eIF4E was detected by RT-PCR.Results The positive rate of eIF4E was 65.2 ％ (101/155) in AML.eIF4E turned to negative in 12 patients (17.6 ％) who got complete remission after induction therapy.eIF4E was negatively expressed in bone marrow of the nontumor control patients.The positive rates of eIF4E were 75.0 ％ (15/20) and 80.8 ％ (21/26) in M4 and M5 type AML,respectively,and was 59.6 ％ (65/109) in other subtype AML (P ＞ 0.05).FLT3/ITD gene mutation was found in 26 cases of newly diagnosed AML.The eIF4E expression and FLT3-ITD gene mutation were independent each other (P ＞ 0.05).Conclusions eIF4E is positive in most of the newly diagnosed AML and turns to negative in part of AML achieving complete remission.The expression of eIF4E is no difference among different subtype of AMLs.eIF4E and FLT3-ITD gene mutation are independent each other.