摘要
该院收治1例以发热合并贫血为首发症状的妊娠合并噬血细胞综合征(HPS)患者,26岁,孕周31+5周,孕3产2。患者发生原因不明的发热、贫血和血小板减少,入院后积极进行相关检查,确诊为继发性HPS,予以地塞米松和免疫球蛋白治疗。经血液科、产科及新生儿科会诊后确定胎儿促肺成熟已完成,对患者实施子宫下段剖宫产术,术后患者及新生儿一般状况良好。患者转至血液科进行HPS的治疗,使用地塞米松加依托泊苷治疗1个疗程后,复查患者骨髓、凝血、血常规恢复良好,准予出院,出院后2周门诊复查患者恢复良好。
A case of pregnancy complicated with hemophagocytic syndrome(HPS)with fever combined 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 thrombocytopenia.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 hematology,obstetrics,and neonatology,it was determined that fetal lung maturation was complete.The patient underwent a lower segment cesarean section.Both the patient and the newborn were in good general condition postoperatively.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 patient remained well at a two-week post-discharge outpatient follow-up.
作者
蒙洁
黄继山
成星
张翀
米乐园
MENG Jie;HUANG Jishan;CHENG Xing;ZHANG Chong;MI Leyuan(Department of Clinical LaboratoryGynecology Intensive Care Medicine,Gansu Maternal and Child Health Care Hospital/Gansu Provincial Central Hospital,Lanzhou,Gansu 730000,China;Department of Obstetrics and Gynecology Intensive Care Medicine,Gansu Maternal and Child Health Care Hospital/Gansu Provincial Central Hospital,Lanzhou,Gansu 730000,China)
出处
《现代医药卫生》
2024年第17期2951-2953,2958,共4页
Journal of Modern Medicine & Health
关键词
噬血细胞综合征
妊娠
病例报告
Hemophagocytic syndrome
Pregnancy
Case reports
