妊娠合并噬血细胞综合征2例报告

• 作 者: 焦蕊丽 王明 庞秋梅 于红卫
• 机 构: 首都医科大学附属北京佑安医院妇幼中心,首都医科大学附属北京佑安医院重症肝病科,
• 出 处: 北京医学
• 发表日期: 2015年12期

病例1 30岁,停经29周无诱因出现发热伴畏寒,持续约12 d,体温最高40℃,当地医院经抗感染、保肝治疗,患者胆红素仍进行性升高,于2015年2月5日(孕31周)转入北京佑安医院。查体:皮肤巩膜重度黄染,右颈前淋巴结肿大约0.8 cm3,伴肝脾肿大。血常规:9WBC 4.44×109/L,Hb 86 g/L,PLT 121×10/L;凝血酶原活动度(PTA)94%,FIB 2.42 g/L;生化:ALT 249.2 U/L,AST 177.2 U/L,T-BIL 178.1μmol/L,D-BIL 105.0μmol/L,ALB 25.1 g/L;降钙素原

Case 1 30 years old, 29 weeks after menopause, no fever caused by fever with chills, sustained about 12 d, body temperature up to 40 ℃, the local hospital anti-infective, liver protection, patients with bilirubin is still progressive increase in 2015 2 On the 5th of the month (31 weeks pregnant) transferred to Beijing You’an Hospital. Physical examination: sclera severe yellow stained skin, right anterior cervical lymph nodes about 0.8 cm3, with hepatosplenomegaly. Blood routine: 9WBC 4.44 × 109 / L, Hb 86 g / L, PLT 121 × 10 / L; Prothrombin activity 94%, FIB 2.42 g / L; Biochemistry: ALT 249.2 U / L, AST 177.2 U / L, T-BIL 178.1 μmol / L, D-BIL 105.0 μmol / L, ALB 25.1 g / L;