甲状腺机能亢进危像与复杂全血细胞减少症1例。

Xiaotian Lei, Weiling Leng, Min Long, Laiping Xie, Liu Chen
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引用次数: 0

摘要

抗甲状腺药物可引起中性粒细胞减少症或粒细胞缺乏症,在甲亢治疗中很少引起全血细胞减少症。粒细胞减少症或全血细胞减少症合并甲亢危象时治疗困难,死亡率高。陆军军医大学第一附属医院收治1例甲巯咪唑所致全血细胞减少伴系统性红斑狼疮、继发性甲状腺功能亢进危像及粒细胞缺乏症患者。及时给予合理治疗,如抗感染、刺激粒细胞生成、复方碘液控制甲状腺功能等,有效控制病情,挽救了患者的生命。早期发现和识别全血细胞减少的可能原因,动态调整治疗方案,对甲亢合并重度全血细胞减少的患者具有重要意义。
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Hyperthyroidism crisis and complex pancytopenia: A case report.

Antithyroid drugs can cause neutropenia or agranulocytosis, rarely pancytopenia in hyperthyroidism therapy. The treatment is difficult and lethality is high when granulocytopenia or pancytopenia combined with hyperthyroidism crisis. First Affiliated Hospital of Army Medical University treated a patient who had pancytopenia caused by methimazole with systemic lupus erythematosus, secondary hyperthyroidism crisis and agranulocytosis.We gave the reasonable treatment in time, such as anti-infection, stimulating granulocyopoiesis, compound iodine solution to control thyroid function, controlled the disease effectively and saved the patient's life. Early detection and identification of possible causes of pancytopenia and dynamic adjustment of treatment plan show great significance for patients with hyperthyroidism and severe pancytopenia.

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来源期刊
中南大学学报(医学版)
中南大学学报(医学版) Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
8237
期刊介绍: Journal of Central South University (Medical Sciences), founded in 1958, is a comprehensive academic journal of medicine and health sponsored by the Ministry of Education and Central South University. The journal has been included in many important databases and authoritative abstract journals at home and abroad, such as the American Medline, Pubmed and its Index Medicus (IM), the Netherlands Medical Abstracts (EM), the American Chemical Abstracts (CA), the WHO Western Pacific Region Medical Index (WPRIM), and the Chinese Science Citation Database (Core Database) (CSCD); it is a statistical source journal of Chinese scientific and technological papers, a Chinese core journal, and a "double-effect" journal of the Chinese Journal Matrix; it is the "2nd, 3rd, and 4th China University Excellent Science and Technology Journal", "2008 China Excellent Science and Technology Journal", "RCCSE China Authoritative Academic Journal (A+)" and Hunan Province's "Top Ten Science and Technology Journals". The purpose of the journal is to reflect the new achievements, new technologies, and new experiences in medical research, medical treatment, and teaching, report new medical trends at home and abroad, promote academic exchanges, improve academic standards, and promote scientific and technological progress.
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