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严重的再生障碍性贫血(简称再障)是一种儿童肝炎罕见的并发症,常发生于非甲、非乙型肝炎病毒感染后。本文报告一患严重的肝炎后再障患儿接受抗胸腺细胞球蛋白(ATG)和甲基强的松龙治疗后康复。病例男,20月龄。因肝炎住院。当时总胆红素5.2mg/dl,直接胆红素3.5mg/dl,SGOT2940IU/L,SGPT4700IU/L。入院体查:皮肤黄疸,肝右肋下8cm,脾肋下3cm。总胆红素11.6mg/dl(直接胆红素9.2mg/dl),SGOT3845IU/L;SGPT、3335IU/L,血氨、凝血酶原、部分凝血活酶时间和血清蛋白正常。肝脏活检呈弥漫性肝细胞坏死伴有孤
Severe aplastic anemia (referred to as aplastic anemia) is a rare complication of childhood hepatitis, often occurs in non-A, non-B hepatitis virus infection. This article reports the recovery of patients with severe posthepatitis with aplastic anemia receiving anti-thymocyte globulin (ATG) and methylprednisolone treatment. Case male, 20 months old. Hospitalized for hepatitis. At that time total bilirubin 5.2mg / dl, direct bilirubin 3.5mg / dl, SGOT2940IU / L, SGPT4700IU / L. Admission physical examination: skin jaundice, liver right rib 8cm, spleen ribs 3cm. Total bilirubin 11.6mg / dl (direct bilirubin 9.2mg / dl), SGOT3845IU / L; SGPT, 3335IU / L, blood ammonia, prothrombin, partial thromboplastin time and serum protein normal. Liver biopsy showed diffuse necrosis of liver cells with solitary