文章摘要
徐忠金谢淑佩林媛媛朱春晖何飞.噬血细胞综合征临床特征与影响预后因素分析[J].,2012,12(25):4910-4912
噬血细胞综合征临床特征与影响预后因素分析
Analysis of the Clinical Characteristics and Factors Affecting Prognosis ofHemophagocytic Syndrome
  
DOI:
中文关键词: 噬血细胞综合征  危险因素  分析
英文关键词: Hemophagocytic syndrome  Risk factor  Analysis
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作者单位
徐忠金谢淑佩林媛媛朱春晖何飞 江西省儿童医院血液科 
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中文摘要:
      目的:探讨噬血细胞综合症的临床特征及影响预后因素,为临床治疗提供依据。方法:选择2006 年1 月~2011 年12 月我院 收治的噬血细胞综合症患儿26 例,回顾分析所有患儿的临床表现、实验室检查、病因及转归等资料。结果:死亡10 例,好转或痊 愈16 例。原发与继发性HPS 转归情况比较,X2=7.825,P<0.05,差异有统计学意义。两组年龄(t=2.807)、肝肿大(t=2.817)、脾肿大 (t=2.651)、白细胞计数(t=2.580)、血小板(t=2.814)、纤维蛋白原(t=2.984)、乳酸脱氢酶(LDH)(t=2.667)和丙氨酸转氨酶(ALT) (t=2.514)比较,差异有统计学意义,P<0.05。结论:儿童噬血细胞综合征病因复杂,临床特征多样,应结合患儿个体特征进行临床 治疗。
英文摘要:
      Objective: To analysis the clinical characteristics and impact factors of hemophagocytic syndrome, in order to provide basis for clinical treatment. Methods: A retrospective analysis of the clinical characteristics, laboratory data, causes and outcomes was made for 26 patients with hemophagocytic syndrome in our hospital from Jan. 2006 to Dec. 2011. Results: 10 children with hemophagocytic syndrome were dead, 16 children were on the mend or recovery. The prognosis of primary and secondary HPS was statistical different significantly(X2=7.825, P<0.05). The age(t=2.807, P<0.05), the size of enlargement of liver and spleen(t=2.817 and t=2.651, P<0.05), WBC(t=2.580, P<0.05), blood platelet (t=2.814, P<0.05), FIB(t=2.984, P<0.05), LDH(t=2.667, P<0.05)and ALT(t=2.514, P< 0.05)of two groups were statistical different significantly. Conclusion: HPS for children presented complicated causes, various clinical characteristics and high mortality. HPS should be treated with individual factors for children.
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