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目的分析白血病化疗的治疗成本，探讨经济、有效的治疗方法及降低成本的方法。方法白血病患儿分别在门急诊和病房接受２０个疗程化疗，统计治疗成本费用，探讨降低成本的方法。结果白血病患儿化疗的主要成本是药费，住院治疗药费占７２．２％，门急诊治疗药费占８６．４ ％，在门急诊治疗的成本低于住院治疗，门急诊治疗每疗程可节省 １０１２元，节省 ２０．３％，化疗药中左旋门冬酰胺酶费用占 ５９．１％，替尼泊苷（ＶＭ－２６）占３１．１％，其他药费为９．８％。结论白血病患儿化疗的主要成本是药费，门急诊治疗的成本低于住院治疗，可通过调整化疗方案大幅降低白血病的治疗费用。
Objective To analyze the cost of leukemia chemotherapy and explore economical, effective treatment methods and methods to reduce costs. Methods Children with leukemia received 20 cycles of chemotherapy in the emergency department and wards respectively. The cost of treatment was calculated and the cost reduction method was discussed. Results The main cost of chemotherapy for leukemia patients was drug costs, hospitalization costs accounted for 72.2%, outpatient emergency treatment accounted for 86.4 %, the cost of outpatient emergency treatment was lower than that of inpatient treatment, outpatient and emergency treatment can be used for each course of treatment. Save 1012 yuan, saving 20.3%, the cost of L-asparaginase in chemotherapy drugs accounted for 59.1%, 31.1% for teniposide (VM-26), and 9.8% for other drugs. Conclusion The main cost of chemotherapy for leukemia patients is drug costs. The cost of outpatient emergency treatment is lower than that of inpatient treatment. The cost of leukemia treatment can be greatly reduced by adjusting chemotherapy regimens.