肝硬化合并毛细血管渗漏综合征、甲状腺功能减退性肌病1例报告

周云; 何文革; 黄长形

doi:10.3969/j.issn.1001-5256.2019.07.032

肝硬化合并毛细血管渗漏综合征、甲状腺功能减退性肌病1例报告

DOI: 10.3969/j.issn.1001-5256.2019.07.032

空军军医大学唐都医院传染科

基金项目:

国家自然科学基金青年基金(81601749)；

详细信息

中图分类号: R575.2;R581.2;R543.7
计量
- 文章访问数: 997
- HTML全文浏览量: 46
- PDF下载量: 237
- 被引次数: 0
出版历程
- 出版日期: 2019-07-20

Cirrhosis with capillary leak syndrome and hypothyroid myopathy: A case report

Department of Infectious Diseases, Tangdu Hospital, Air Force Military Medical University

Research funding:

摘要

摘要: <正>1病例资料患者男性,79岁,因"乏力、纳差1个月余,腹胀2周"于2018年9月27日入本院。查体:血压110/70 mm Hg,神志清,精神差,全身皮肤巩膜无黄染,未见蜘蛛痣、肝掌,心肺查体无明显异常,腹部膨隆,腹围103 cm,腹部无压痛及反跳痛,肝脾肋下未触及,肝肾区叩痛阴性,移动性浊音阳性,双下肢中度凹陷性水肿。既往史:确诊冠状动脉粥样硬化性心脏病1个月,服用
- 肝硬化 /
- 毛细血管渗漏综合征 /
- 甲状腺功能减退性肌病
- liver cirrhosis /
- capillary leak syndrome /
- hypothyroid myopathy

HTML全文

参考文献(14)

[1]Union for China Lymphoma Investigators, Chinese Society of Clinical Oncology;Special Committee of Cancer Rehabilitation and Palliative Care, Chinese Anti-cancer Association;Chinese Society of Hematology, Chinese Medical Association.Chinese expert consensus on clinical application of recombinant human interleukin-11 in treatment of thrombocytopenia (version 2018) [J].Chin Clin Oncol, 2018, 23 (3) :260-266. (in Chinese) 中国临床肿瘤学会抗淋巴瘤联盟, 中国抗癌协会癌症康复与姑息治疗专业委员会, 中华医学会血液学分会.重组人白介素-11治疗血小板减少症临床应用中国专家共识 (2018版) [J].临床肿瘤学杂志, 2018, 23 (3) :260-266.

[2]LIU LY, HOU Y.The new progress of research on capillary leak syndrome pathogenesis[J/CD].World Latest Med Info:Electronic Edition, 2017, 17 (34) :30-32. (in Chinese) .刘丽英, 侯勇.毛细血管渗漏综合征发病机制的研究新进展[J/CD].世界最新医学信息文摘:电子版, 2017, 17 (34) :30-32.

[3]NAGAO Y, HARADA H, YAMANAKA H, et al.Possible mediators for systemic capillary leak syndrome[J].Am J Med, 2011, 124 (1) :7-9.

[4]LI XN, YAN Y, LI Y.Capillary leak syndrome caused by recombinant human interleukin-2 for injection:A case report[J].Clin Med J, 2018, 16 (10) :87-89. (in Chinese) 李小娜, 严瑛, 李瑜.注射用重组人白介素-2致毛细血管渗漏综合征1例[J].临床药物治疗杂志, 2018, 16 (10) :87-89.

[5]ZHANG Y, YANG NR, LI XW, et al.Capillary leak syndrome caused by recombinant human interleukin-11 for injection:Acase report[J].Chin Clin Oncol, 2013, 18 (10) :957-958. (in Chinese) 张瑜, 杨宁蓉, 李小卫, 等.注射用重组人白介素-11致毛细血管渗漏综合征1例[J].临床肿瘤学杂志, 2013, 18 (10) :957-958.

[6]WANG KF, PAN HM, LOU HZ, et al.Interleukin-11 induced capillary leak syndrome in primary hepatic carcinoma patients with thrombocytopenia[J].BMC Cancer, 2011, 11 (1) :204.

[7]LI L, GOU CY, LI JY, et al.State of the art of management of hepatic myelopathy[J].World Chi J Digest, 2017, 25 (29) :2631-2636. (in Chinese) 李丽, 勾春燕, 李晶滢, 等.肝性脊髓病的诊治进展[J].世界华人消化杂志, 2017, 25 (29) :2631-2636.

[8]CHOUDHARY NS, SAIGAL S, SARAF N, et al.Acute onset significant muscle weakness in a patient awaiting liver transplantation:Look for statins.[J].J Clin Exp Hepatol, 2017, 7 (1) :66-67.

[9]NGUYEN KA, LI L, LU D, et al.A comprehensive review and meta-analysis of risk factors for statin-induced myopathy[J].Eur J Clin Pharmacol, 2018, 74 (9) :1099-1109.

[10]Chinese Society of Endocrinology, Chinese Medical Association.Guidelines for the diagnosis and treatment of hypothyroidism in adults[J].Chin J Endocrinol Metab, 2017, 33 (2) :167-180. (in Chinese) 中华医学会内分泌学会.成人甲状腺功能减退症诊治指南[J].中华内分泌代谢杂志, 2017, 33 (2) :167-180.

[11]ALESSANDRO S, CARMELO R, MARIA AP, et al.Hypothyroid myopathy:A peculiar clinical presentation of thyroid failure.Review of the literature[J].Rev Endocr Metab Disord, 2016, 17 (4) :499-519.

[12]HEKIMSOY Z, OKTEM IK.Serum creatine kinase levels in overt and subclinical hypothyroidism[J].Endocr Res, 2005, 31 (3) :171-175.

[13]DENG QQ, GU WP, WANG JQ.Clinical features of hypothyroid myopathy[J].J Inter Neurol Neuros, 2016, 43 (6) :507-510. (in Chinese) 邓琴琴, 谷文萍, 王家祺.甲状腺功能减退性肌病的临床特点[J].国际神经病学神经外科学杂志, 2016, 43 (6) :507-510.

[14]PUNEKAR P, SHARMA AK, JAIN A.A study of thyroid dysfunction in cirrhosis of liver and correlation with severity of liver disease[J].Indian J Endocrinol Metab, 2018, 22 (5) :645-650.

施引文献

资源附件(0)

访问统计