H S Shi, D D Zhao, C X Zhang, L Y Wang, M Li, B Yang, X Y Gao
{"title":"新生儿巨噬细胞激活综合征1例。","authors":"H S Shi, D D Zhao, C X Zhang, L Y Wang, M Li, B Yang, X Y Gao","doi":"10.3760/cma.j.cn112140-20230206-00082","DOIUrl":null,"url":null,"abstract":"患儿 男，30分钟龄，生后呻吟、气促、哭声弱。母亲4年前拟诊混合性结缔组织病，孕期擅自停药。患儿双下肢及阴囊水肿，血红蛋白、中性粒细胞、血小板、纤维蛋白原反复降低，天冬氨酸转氨酶升高。患儿27日龄起出现反复高热，肝、脾肿大，甘油三酯3.9 mmol/L，自然杀伤细胞活性降低，血清铁蛋白1 342 μg/L，骨髓中发现噬血现象，诊断新生儿巨噬细胞活化综合征，给予甲泼尼龙2 mg/（kg·d）、环孢素4 mg/（kg·d），治疗1个月余痊愈停药，随访6个月未复发，发育正常。.","PeriodicalId":23998,"journal":{"name":"Zhonghua er ke za zhi = Chinese journal of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[A case of neonatal macrophage activation syndrome].\",\"authors\":\"H S Shi, D D Zhao, C X Zhang, L Y Wang, M Li, B Yang, X Y Gao\",\"doi\":\"10.3760/cma.j.cn112140-20230206-00082\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"患儿 男，30分钟龄，生后呻吟、气促、哭声弱。母亲4年前拟诊混合性结缔组织病，孕期擅自停药。患儿双下肢及阴囊水肿，血红蛋白、中性粒细胞、血小板、纤维蛋白原反复降低，天冬氨酸转氨酶升高。患儿27日龄起出现反复高热，肝、脾肿大，甘油三酯3.9 mmol/L，自然杀伤细胞活性降低，血清铁蛋白1 342 μg/L，骨髓中发现噬血现象，诊断新生儿巨噬细胞活化综合征，给予甲泼尼龙2 mg/（kg·d）、环孢素4 mg/（kg·d），治疗1个月余痊愈停药，随访6个月未复发，发育正常。.\",\"PeriodicalId\":23998,\"journal\":{\"name\":\"Zhonghua er ke za zhi = Chinese journal of pediatrics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhonghua er ke za zhi = Chinese journal of pediatrics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/cma.j.cn112140-20230206-00082\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua er ke za zhi = Chinese journal of pediatrics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/cma.j.cn112140-20230206-00082","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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