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自身免疫性肝炎合并血栓性血小板减少性紫癜1例报告

吴云 姚志山 王巍

引用本文:
Citation:

自身免疫性肝炎合并血栓性血小板减少性紫癜1例报告

DOI: 10.3969/j.issn.1001-5256.2018.07.034
详细信息
  • 中图分类号: R554.6;R575.1

Autoimmune hepatitis with thrombotic thrombocytopenic purpura: A case report

  • 摘要: <正>1病例资料患者女性,60岁,因"间断腹胀、乏力6个月,加重伴恶心、呕吐1 d"于2017年5月28日至唐山市丰润区第二人民医院肝病科住院治疗。2016年12月患者无明显诱因出现乏力、腹胀,遂就诊于本院消化内科。既往否认慢性病史,否认肝病家族史,否认伤寒、结核等传染病史,否认手术、外伤史,否认用药史,无烟酒等不良嗜好。予以检查肝功能:ALT 77 U/L,AST 84 U/L,ALP 138 U/L,GGT 136 U/L,TBil 32μmol/L,Alb 41.8 g/L,Glo

     

  • [1]ZHANG FK, JIA JD.Diagnosis and treatment for autoimmune hepatitis[J].Chin J Pract Intern Med, 2006, 26 (23) :1849-1852. (in Chinese) 张福奎, 贾继东.自身免疫性肝炎的诊断与治疗[J].中国实用内科杂志, 2006, 26 (23) :1849-1852.
    [2] WANG TL, ZHAO XY.Pathological features of autoimmune hepatitis[J].J Clin Hepatol, 2011, 27 (6) :577-580. (in Chinese) 王泰龄, 赵新颜.自身免疫性肝炎的病理特点[J].临床肝胆病杂志, 2011, 27 (6) :577-580.
    [3]JIANG YN, WANG Y, LYU Y, et al.Pathological characteristics and clinical effect of autoimmune hepatitis after liver transplantation[J].Chin J Dig Surg, 2016, 15 (5) :477-481. (in Chinese) 蒋依娜, 王越, 吕毅, 等.自身免疫性肝炎的病理学特点及肝移植疗效[J].中华消化外科杂志, 2016, 15 (5) :477-481.
    [4]QIU D, WANG Q, WANG H, et al.Validation of the simplified criteria for diagnosis of autoimmune hepatitis in Chinese patients[J].J Hepatol, 2011, 54 (2) :340-347.
    [5]Chinese Society of Hepatology, Chinese Society of Gastroenterology, Chinese Society Infectious Diseases, Chinese Medical Association.Consensus on the diagnosis and management of autoimmune hepatitis (2015) [J].J Clin Hepatol, 2016, 32 (1) :9-22. (in Chinese) 中华医学会肝病学分会, 中华医学会消化学分会, 中华医学会感染病学分会.自身免疫性肝炎诊断和治疗共识 (2015) [J].临床肝胆病杂志, 2016, 32 (1) :9-22.
    [6]WANG AY, DONG NZ, RUAN CG.Research advances in thrombotic thrombocytopenic purpura[J].Int J Blood Transfusion Hematol, 2008, 31 (3) :257-261. (in Chinese) 汪安友, 董宁征, 阮长耿.血栓性血小板减少性紫癜的研究进展[J].国际输血及血液学杂志, 2008, 31 (3) :257-261.
    [7] Hemostasis and Thrombosis Group, Hematology Society, Chinese Medical Association.Chinese Expert consensus on the diagnosis and treatment of thrombotic thrombocytopenic purpura (2012) [J].Chin J Hematol, 2012, 33 (11) :983-984. (in Chinese) 中华医学会血液病分会血栓与止血学组.血栓性血小板减少性紫癜诊断与治疗中国专家共识 (2012版) [J].中华血液学杂志, 2012, 33 (11) :983-984.
    [8]WANG JG, ZHOU F, LIU YQ, et al.A clinical study on incipient patients with acquired thrombotic thrombocytopenic purpura treated with plasma therapy and low-dose rituximab[J].Clin J Med Offic, 2015, 43 (7) :684-688. (in Chinese) 王吉刚, 周凡, 刘彦琴, 等.血浆疗法联合小剂量利妥昔单抗治疗初发获得性TTP[J].临床军医杂志, 2015, 43 (7) :684-688.
    [9]YE X, WU ZX.Comparison of two methods used to detrct the activity of ADAMTS13 in clinical practice[J].Chin J Thromb Hemost, 2016, 22 (3) :311-317. (in Chinese) 叶絮, 吴朝霞.两种检测ADAMTS13活性的方法在临床应用中的比较[J].血栓与止血学, 2016, 22 (3) :311-317.
    [10]ZHANG JY, CHEN XC, LI JJ, et al.The clinical analysis of 12patients with thrombotic thrombocytopenic purpura[J].West China Med J, 2006, 21 (2) :255-257. (in Chinese) 张家友, 陈心传, 李建军, 等.血栓性血小板减少性紫癜12例临床分析[J].华西医学, 2006, 21 (2) :255-257.
    [11]AYMAN EG, WAFAA G, TAMER E, et al.Thrombotic thrombocytopenic purpura associated with chronic HCV infection[J].Egypt Rheumatol, 2012, 34:107-110.
    [12]JOHN ML, SCHARRER I.Autoimmune disorders in patients with idiopathic thrombotic thrombocytopenic purpura[J].Hamostaseologie, 2012, 32 (Suppl 1) :s86-s89.
    [13]RORIZ M, LANDAIS M, DESPREZ J, et al.Risk factor for autoimmune diseases development after thrombotic thrombocytopenic purpura[J].Medicine (Baltimore) , 2015, 94 (42) :e1598.
    [14]LI J, WANG JT, KOICHI T, et al.Autoimmune liver injury and non-alcoholic fatty liver disease[J].Chin J Gastroenterol, 2010, 15 (9) :525-527. (in Chinese) 李晶, 王晶桐, 常山幸一, 等.自身免疫性肝损伤与非酒精性脂肪性肝病[J].胃肠病学, 2010, 15 (9) :525-527.
    [15]QIU DK, MA X.Autoimmune liver diseases-basic and clinical advances[M].Shanghai:Shanghai Science and Technology Press, 2006:75. (in Chinese) 邱德凯, 马雄.自身免疫性肝病基础与临床[M].上海:上海科学技术出版社, 2006:75.
    [16]ZHANG J, GU J.Progress of pathogenesis and treatment of thrombotic thrombocytopenic purpura[J].J Clin Hematol (China) , 2016, 29 (1) :73-76. (in Chinese) 张军, 顾健.血栓性血小板减少性紫癜发病机制及治疗进展[J].临床血液学杂志, 2016, 29 (1) :73-76.
    [17]WANG XW.ADAMTS13 and thrombosis[J].Mil Med J Southeast China, 2009, 11 (3) :230-234. (in Chinese) 王学文.ADAMTS13和血栓症[J].东南国防医药, 2009, 11 (3) :230-234.
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  • 出版日期:  2018-07-20
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