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重症酒精性肝炎合并类白血病反应3例报告

姚秋艳 施荣杰

引用本文:
Citation:

重症酒精性肝炎合并类白血病反应3例报告

DOI: 10.3969/j.issn.1001-5256.2020.07.031
详细信息
  • 中图分类号: R575.1

Severe alcoholic hepatitis with leukemoid reaction: A report of 3 cases

  • 摘要:

    <正>酒精性肝病是长期、大量饮酒所导致的肝脏疾病。早期通常表现为脂肪肝,逐步发展成酒精性肝炎、肝纤维化和肝硬化。重症酒精性肝炎以快速进展或加重的黄疸、凝血异常及肝脏相关并发症等为主要表现,且此前8周内有大量饮酒史,Maddrey判别函数(MDF)评分> 32或终末期肝病模型(MELD)评分>20,并除外其他原因引起的肝病[1]。类白血病反应通常作为合并症报道,但重症酒精性肝炎合并类白血病反应报道少见。

     

  • [1]National Workshop on Fatty Liver and Alcoholic Liver Disease,Chinese Society of Hepatology,Chinese Medical Association;Fatty Liver Expert Committee,Chinese Medical Doctor Association.Guidelines of prevention and treatment for alcoholic liver disease:A 2018 update[J].J Clin Hepatol,2018,34(5):939-946.(in Chinese)中华医学会肝病学分会脂肪肝和酒精性肝病学组,中国医师协会脂肪性肝病专家委员会.酒精性肝病防治指南(2018年更新版)[J].临床肝胆病杂志,2018,34(5):939-946.
    [2]CHEN BF,ZHANG Y,SUN J,et al.Esophagogastric variceal bleeding with leukemoid reaction:A case report[J].World Chin J Dig,2017,25(35):3167-3170.(in Chinese)陈炳芳,张银,孙静,等.食管静脉曲张破裂出血患者合并类白血病反应1例[J].世界华人消化杂志,2017,25(35):3167-3170.
    [3]DENG KY,HUANG DL,TAN N,et al.Analysis of laboratory results in 63 children with leukemia[J].Exp Lab Med,2017,35(4):547-549.(in Chinese)邓坤仪,黄道连,谭南,等.儿童类白血病反应63例实验室结果分析[J].实验与检验医学,2017,35(4):547-549.
    [4]ZOU Y,WU QF,YU F.Leukemoid reaction[J].J Qiqihaer Med Coll,2000,21(1):105-106.(in Chinese)邹莹,吴秋福,于芳.类白血病反应[J].齐齐哈尔医学院学报,2000,21(1):105-106.
    [5]ARGELLES-GRANDE C,LEON F,MATILLA J,et al.Steroidal management and serum cytokine profile of a case of alcoholic hepatitis with leukemoid reaction[J].Scand J Gastroenterol,2002,37(9):1111-1113.
    [6]MORALES AM,HASHIMOTO LA,MOKHTEE D.Alcoholic hepatitis with leukemoid reaction after surgery[J].J Gastrointest Surg,2006,10(1):83-85.
    [7]LI ZH,YANG MW,DU FJ,et al.Alcoholic liver failure complicated with leukemoid reaction:One case report[J].Chin J Gastroenterol Hepatol,2017,26(2):153-154.(in Chinese)李之慧,杨茂梧,都芳鹃,等.酒精性肝衰竭合并类白血病反应1例报道[J].胃肠病学和肝病学杂志,2017,26(2):153-154.
    [8]GENG JB,WANG SM,WANG M,et al.Alcoholic cirrhosis complicated with leukemoid reaction:One case report[J].Chin Hepatol,2017,22(2):188.(in Chinese)耿家宝,王寿明,王敏,等.酒精性肝硬化合并类白血病反应1例[J].肝脏,2017,22(2):188.
    [9]THURSZ MR,RICHARDSON P,ALLISON M,et al.Prednisolone or pentoxifylline for alcoholic hepatitis[J].N Engl J Med,2015,372(17):1619-1628.
    [10]LU YS,PU LY,LI XC,et al.Methylprednisolone inhibits activated CD4+T cell survival promoted by toll-like receptor ligands[J].Hepatobiliary Pancreat Dis Int,2010,9(4):376-383.
    [11]MATHURIN P,O'GRADY J,CARITHERS RL,et al.Corticosteroids improve short-term survival in patients with severe alcoholic hepatitis:Meta-analysis of individual patient data[J].Gut,2011,60(2):255-260.
    [12]QIU YY,WANG WH,ZHU L.Role of inflammatory factors in development and progression of alcoholic liver disease[J].J Clin Hepatol,2016,32(3):574-578.(in Chinese)邱媛媛,王伟恒,朱樑.炎症因子在酒精性肝病发生发展中的作用[J].临床肝胆病杂志,2016,32(3):574-578.
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  • 出版日期:  2020-07-20
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