现代医药卫生2024,Vol.40Issue(17):2951-2953,2958,4.DOI:10.3969/j.issn.1009-5519.2024.17.016
妊娠合并噬血细胞综合征1例
A case of pregnancy complicated with hemophagocytic syndrome
蒙洁 1黄继山 1成星 2张翀 1米乐园1
作者信息
- 1. 甘肃省妇幼保健院/甘肃省中心医院:检验科,甘肃 兰州 730000
- 2. 甘肃省妇幼保健院/甘肃省中心医院:妇产重症医学科,甘肃 兰州 730000
- 折叠
摘要
Abstract
A case of pregnancy complicated with hemophagocytic syndrome(HPS)with fever com-bined with anemia as the first symptom was admitted to our hospital.The patient was 26 years old,31+5 weeks pregnant,3 pregnancies and 2 births.The patient experienced unexplained fever,anemia,and thrombo-cytopenia.After admission,extensive tests confirmed a diagnosis of secondary HPS,and she was treated with dexamethasone and intravenous immunoglobulin.Following consultations with the departments of hematolo-gy,obstetrics,and neonatology,it was determined that fetal lung maturation was complete.The patient under-went a lower segment cesarean section.Both the patient and the newborn were in good general condition post-operatively.The patient was then transferred to the hematology department for further treatment of HPS and underwent one course of treatment with dexamethasone and etoposide.A follow-up examination of her bone marrow,coagulation profile,and complete blood count showed good recovery,and she was discharged.The pa-tient remained well at a two-week post-discharge outpatient follow-up.关键词
噬血细胞综合征/妊娠/病例报告Key words
Hemophagocytic syndrome/Pregnancy/Case reports分类
医药卫生引用本文复制引用
蒙洁,黄继山,成星,张翀,米乐园..妊娠合并噬血细胞综合征1例[J].现代医药卫生,2024,40(17):2951-2953,2958,4.