[Changes in neutrophil counts and lymphocytes subpopulations of a ECLS instituted patient].

T Yamaguchi, A Murakami, K Fukahara, T Ueda, T Misaki
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Abstract

A 4-year-old girl with tetoralogy of Fallot developed acute heart failure after ASD semiclosure. As drugs had no effect, ECLS was instituted. She gradually recovered from acute heart failure. ECLS was detached at 5 days after institution. Neutrocytopenia and lymphocytopenia became apparent during ECLS institution. The Subpopulations of T cell and NK cell decreased, and B cell subpopulation increased on the contrary during ECLS institution. This lymphocytopenia was caused by a decrease in T cell, especially CD4(+) cell numbers. It is necessary to minimize the potential for infection during ELCS institution.

[ECLS患者中性粒细胞计数和淋巴细胞亚群的变化]。
1例4岁女童法洛特系ASD半闭锁后发生急性心力衰竭。由于药物无效,ECLS被建立。她逐渐从急性心力衰竭中恢复过来。术后5 d分离ECLS。中性细胞减少症和淋巴细胞减少症在ECLS期间变得明显。在ECLS过程中,T细胞和NK细胞亚群减少,B细胞亚群增加。这种淋巴细胞减少是由T细胞,特别是CD4(+)细胞数量减少引起的。在ELCS机构期间,有必要将感染的可能性降到最低。
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