噬血细胞综合征21例临床分析 |
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引用本文: | 范方毅,苏毅,王译,刘一岚,邱玲,易海,何光翠,付利.噬血细胞综合征21例临床分析[J].西部医学,2012,24(11):2114-2115,2118. |
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作者姓名: | 范方毅 苏毅 王译 刘一岚 邱玲 易海 何光翠 付利 |
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作者单位: | 成都军区总医院血液内科,四川成都,610083 |
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摘 要: | 目的探讨噬血细胞综合征(HPS)的临床特点。方法回顾性分析21例噬血细胞综合征患者的病因、临床表现、实验室检查指标、治疗方案及治疗转归情况。结果21例HPS中感染12例(57.1%),其中EBV感染6例,血液系统恶性肿瘤3例(14.2%),经过HLH-2004方案为基础的治疗后,死亡9例(42.8%),其中早期死亡6例,3个月后死亡3例。结论HPS病因多样,预后差,需要早诊断,早治疗。
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关 键 词: | 噬血细胞综合征 临床表现 治疗 |
Clinical analysis of 21 patients hemophagocytic syndrome |
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Institution: | FAN Fang-yi,SU Yi,WANG Yi,et al(Department of Hematology,The General Hospital of Chengdu Military Region,Chengdu 610083,Sichuan,China) |
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Abstract: | Objective To investigate the clinical features of hemophagocytic syndrome (HPS). Methods A retrospective study was carried out to analyze the causes, clinical features, laboratory findings, treatment and clinical out- comes of 21 patients with HPS. Results Among 21 patients with HPS, 12 (57. 1%) patients had definite infection, 6 patients had EB virus infection, 7 (17.5%) were malignancy-associated, after the combined treatment with HLH-2004 criteria, mortality was 42.8% (9/21). Conclusion Hemophagocytic syndrome has complicated etiology and pathogene- sis, and poor prognosis. Doctors should grasp the clinical features of HPS, diagnose and treat it as early as possible. |
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Keywords: | Hemophagoeytic syndrome Clinical features Prognosis |
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