A case of hemophagocytic syndrome with liver failure as the main manifestation
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摘要:
<正>1病例资料患者女性,37岁,主因"发热2月余,尿黄1月、目黄半月,腹胀、双下肢水肿5 d"于2013年7月8日入本院。既往:否认肝炎病史,无烟酒嗜好。入院查体:体温36. 5℃,皮肤、巩膜重度黄染,颜面部中度水肿,未见肝掌、蜘蛛痣。腹轻度膨隆,正中腹部压痛,无反跳痛及肌紧张,脾肋下3 cm,移动性浊音阳性,双下肢中度水肿。入院后患者发热2次,最高体温达38. 5℃。辅助检查血常规:白细胞8. 68×109/L,中性粒细胞6. 68×109/L,血红蛋白115 g/L,血小板31×109/L。
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关键词:
- 肝功能衰竭 /
- 淋巴组织细胞增多症,嗜血细胞性 /
- 诊断
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Key words:
- liver failure /
- lymphohistiocytosis,hemophagocytic /
- diagnosis
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