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妊娠合并噬血细胞综合征1例

蒙洁 黄继山 成星 张翀 米乐园

现代医药卫生2024,Vol.40Issue(17):2951-2953,2958,4.
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.

现代医药卫生

1009-5519

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