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噬血细胞综合征16例实验结果分析 被引量:2

Analysis of hemophagocytic syndrome in 16 cases
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摘要 目的:探讨噬血细胞综合征的实验结果分析。方法:回顾分析16例噬血细胞综合征的实验结果。结果:16例外周血均表现全血细胞减少,9例T细胞亚群分析CD4/CD8比例降低,16例骨髓象主要特点为吞噬有红细胞和(或)粒细胞和(或)血小板的噬血性组织细胞增多,肝酶增高、明显高甘油三脂血症、低纤维蛋白血症、凝血三项PT、TT、APTT均延长,FIB降低。结论:骨髓象找到吞噬了完整形态、数量不等的有核细胞、红细胞或血小板的噬血细胞为噬血细胞综合征诊断依据,CD4/CD8比例降低,噬血细胞综合征患者出现TG升高、SF升高,FIB减低和APTT时间延长,临床上有上述情况,必须警惕HPS发生。 Objectlve:To investigate the experimental result of the hemophagocytic syndrome. Methods:A retrospective analysis of 16 cases of hemophagocytic syndrome was performed. Results:All of 16 cases of hemophagocytic syndrome result showed all of their peripheral blood ceils decreased, nine cases of T - cell subsets of CD4/CD8 ratio decreased. The key characteristics of myelogram of the 16 cases showed the number of Maerophage blood cells that phagocytized the erythrocytes and (or) tablets cells and (or) blood platelet increased, liver enzymes increased, significant hypertriglyceridemia, low fibrin hyperlipidemia, PT, TT, APTT extension, and FIB lower. Condusion: Hemophagocyte phagocylized karyocytes with normal morphology, erythrocytes or platelets is the diagnostic criteria of hemophagocytie syndrome. CD4/CD8 ratio decreased, hemophagocytic syndrome patients appeared the increasing of triglyeeride. Serum ferrtin, activated partial thromboplastin time and decreasing of fibrinogen. When this kind of situation appears, HPS must be vigilant in.
出处 《中国卫生检验杂志》 CAS 2008年第11期2315-2316,2336,共3页 Chinese Journal of Health Laboratory Technology
关键词 噬血细胞综合征 细胞形态 诊断 Hemophagocytic syndrome Cell morphology Diagnosis
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参考文献8

  • 1lmashuku S. Differential diagnosis of hemophagocytic syndrome : underlying disorders and selection of the most effective treatment [ J ]. Int J Hematol, 1997,66 : 135 - 137.
  • 2Imashuku S, Teramura T, Morimoto A, et al. Recent developments in the management of hacmophagocytic lymphohistiocytosis [ J ] . Expert Opin Pharmacother,2001,2 : 1437 - 1439.
  • 3Verbsky JW, Grossman WJ. Hemophagocytic lymphohistiocytosis : Diagnosis, pathophysiol - ogy, treatment and future perspectives [ J ]. Ann Med, 2006, 38(1):20-31.
  • 4Henter JI, Home A, Arico M, et al. HLH - 2004 : Diagnostic and herapeuticguidelines for hemophagocytic lymphohistiocytosis [ J ]. Pediatr Blood Cancer, 2007, 48(2) : 124 - 131.
  • 5何展文,岑丹阳.12例小儿噬血细胞综合征临床分析[J].广州医药,2005,36(1):39-41. 被引量:6
  • 6李芳秋,陆瑾,杨敏.噬血细胞综合征发病机制及实验诊断[J].临床检验杂志,2004,22(1):53-54. 被引量:22
  • 7陈琴,刘勇,曾文,钟风仪,黄绍良.噬血细胞综合征的骨髓像特征分析[J].中国小儿血液与肿瘤杂志,2007,12(1):28-30. 被引量:8
  • 8Ouachee CM, Elie C, de Saint BG, et al. Hematopoietic stem cell transplantation in hemophagocytic lymphohistiocytosis: a single - center report of 48 patients[J]. Pediatrics, 2006, 117(4) :743 -750.

二级参考文献14

  • 1沈丰一,潘祖玉.噬血细胞综合征[J].上海医学,2005,28(2):168-171. 被引量:15
  • 2Tsuda H, Haemophagocytic syndrome (HPS) in children and adults. Int J Hematol, 1997, 65: 215-226.
  • 3Imashuku S. Advances in the management of haemophagocytic syndrome. Int J Hematol, 2000, 72: 1-11.
  • 4Gill DS, Spencer A, Coberoft RG. High dose gamma-globulintherapy in the reactive haemophagocytic syndrome. Br J Haematol, 1994, 88 (1) : 204.
  • 5Henter JI, Samuelssen-Horne A, Arico M, et al. Treatment of hemophaocytic lymphohistocytosis with HLH-94 immunochemotherapy and hone marrow transplantation. Blood,2002, 100 (7) : 2367-2373.
  • 6Osugi Y,Hara J,Tagawa S,et al.CytoKine Production regulating Th1 and Th2 Cytokines in hemophagocytic Lymphohistiocytosis,Blood,1997 ;89:4100.
  • 7Henter JH,Elinder G,Ost A.The FHL study group of histiocyte society:diagnostic guideline for hemophagocytic lymphohistiocytosis.Semin Oncol,1991 ;18:29.
  • 8许杰州,曾庆馀,肖征宇.反应性噬血细胞综合征和系统性红斑狼疮[J].中华风湿病学杂志,2000,4(6):382-384. 被引量:15
  • 9孙培玉,刘晓红.39例噬血细胞综合征细胞学分析[J].临床检验杂志,2001,19(6):379-379. 被引量:11
  • 10陈哲,金敏威,程淑琴,马俊霞.噬血细胞综合征与恶性组织细胞病[J].现代实用医学,2002,14(3):140-140. 被引量:3

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