|本期目录/Table of Contents|

[1]张 伟,蒋丽君,包 慎,等.误诊为肝硬化的血液系统肿瘤4例临床分析[J].宁夏医科大学学报,2018,(12):1455-1456.[doi:10.16050/j.cnki.issn1674-6309.2018.12.027]
点击复制

误诊为肝硬化的血液系统肿瘤4例临床分析(PDF)
分享到:

《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2018年12期
页码:
1455-1456
栏目:
经验交流
出版日期:
2018-12-30

文章信息/Info

Title:
-
文章编号:
1674-6309(2018)12-1455-03
作者:
张 伟 蒋丽君 包 慎 马燕萍 魏玉萍 智 峰 孙 月 冶秀鹏 王春华
(宁夏回族自治区人民医院(西北民族大学第一临床学院),银川 750002)
Author(s):
-
关键词:
肝硬化脾肿大血细胞减少门脉高压症
Keywords:
-
分类号:
R552
DOI:
10.16050/j.cnki.issn1674-6309.2018.12.027
文献标志码:
-
摘要:
目的 探讨血液系统肿瘤误诊为肝硬化的原因。方法 对4例误诊病例进行回顾性分析。结果 血液系统肿瘤与肝硬化有重叠的临床表现即脾肿大、血细胞减少、门静脉增宽,由于惯性思维、诊断标准的牵强而误诊为肝硬化,尤其是合并乙肝的患者更甚,最终4例误诊为肝硬化的患者经过完善的检查明确为真性红细胞增多症、华氏巨球蛋白血症、成熟大B细胞淋巴瘤、肝脾T细胞淋巴瘤。结论 对于脾肿大、血细胞减少、门静脉增宽的患者在诊断肝硬化时应严格把握诊断标准,积极排查有无血液系统肿瘤。
Abstract:
-

参考文献/References:


[1] Humaira M,Ahmed A Memon A,et al. Etiological pattern of splenomegaly in adults at tertiary care hospital jamshoro sindh[J]. Journal of Liaquat University of Medical & Health Sciences,2016,15(1):40-45.
[2] 管洪庚. 门脉高压症病理生理学研究近况[J]. 中国普外基础与临床杂志,1998,5(4):251-252.
[3] Lv Y,Lau WY,Li Y,et al. Hypersplenism: History and current status[J]. Exp Ther Med,2016,12(4): 2377-2382.
[4] Latorre R,Vaquero J,Rincón D,et al. Determinants of platelet count are different in patients with compensated and decompensated cirrhosis[J]. Liver Int,2016,36(2):232-239.
[5] Kilambi R,Pal S,Dash NR,et al. Hypersplenism in patients with extrahepatic portal venous obstruction (EHO):Its correlation with splenomegaly and severity of portal hypertension[J]. Journal of Clinical and Experimental Hepatology,2015,5:51.
[6] Jeon YK,Yoon SO,Paik JH,et al. Molecular testing of lymphoproliferative disorders: current status and perspectives[J]. Journal of Pathology and Translational Medicine,2017(3):224-241.

相似文献/References:

[1]蔡 磊,郭玉林,侯登华,等.核磁共振对肝硬化肝内结节的诊断价值[J].宁夏医科大学学报,2010,(05):583.
 CAI Lei,GUO Yu-lin,HOU Deng-hua,et al.Evaluation of Nodule in Liver Cirrhosis with MRI[J].Ningxia Medical University,2010,(12):583.
[2]丁向春,马丽娜,张 栩,等.HBeAg阴性与HBeAg阳性乙肝肝硬化患者 临床相关因素对比分析[J].宁夏医科大学学报,2010,(02):214.
 DING Xiang-chun,MA Li-na,ZHANG Xu,et al.Comparison of Clinical Related Factors between CaseswithHBeAg-negative and HBeAg-positive Liver Cirrhosis[J].Ningxia Medical University,2010,(12):214.
[3]杨少奇,王莉,黄睿,等.肝硬化患者外周血TLR、CD14表达及其与内毒素血症的关系[J].宁夏医科大学学报,2010,(01):63.
 YANG Shao qi,YANG Li,HUANG Rong,et al.The Expression of Tolllike Receptors on PBMC and Its Relationship with the Endotoxemia in Patients with Liver Cirrhosis[J].Ningxia Medical University,2010,(12):63.
[4]刘帅伟,丁向春,张 栩,等.复方鳖甲软肝片联合核苷类药物对乙肝肝硬化患者血清PDGF-BB 和其它肝纤维化指标的影响及其相关研究[J].宁夏医科大学学报,2012,(07):695.
 LIU Shuai-wei,DING Xiang-chun,ZHANG Xu,et al.Effect of the Compound Biejiaruangan Piece Combined Nucleoside Drugs on PDGF-BB and Other Indices in Patients with Hepatitis B Cirrhosis[J].Ningxia Medical University,2012,(12):695.
[5]闫瑞,马增瑞,陈学新.血氨对肝硬化大鼠丙泊酚麻醉苏醒时间的影响[J].宁夏医科大学学报,2012,(05):459.
 YAN Rui,MA Zeng-rui,CHEN Xue-xin.Effect of Blood Ammonia on Awaking Time of Propofol Anesthesia in Rats with Hepatic Cirrhosis[J].Ningxia Medical University,2012,(12):459.
[6]侯瑞瑞,赵晓红,杨小荣,等.胰源性门脉高压症1例报道[J].宁夏医科大学学报,2012,(04):424.
[7]孟磊,张丽娜,杨力,等.槐定碱对大鼠肝硬化形成及内毒素水平的干预作用[J].宁夏医科大学学报,2012,(04):323.
 MENG Lei,ZHANG Li-na,YANG Li,et al.[J].Ningxia Medical University,2012,(12):323.
[8]刘红梅,张玉玲,康金玲,等.复合因素诱导大鼠肝硬化模型的建立[J].宁夏医科大学学报,2012,(03):310.
[9]贾 晶,李晓军,陈 勇,等.多层螺旋CT肝脏灌注成像在肝硬化血流状态评价中的应用[J].宁夏医科大学学报,2013,(12):1362.
 JIA Jing,LI Xiaojun,CHEN Yong,et al.The Application of Multi-slice Spiral CT Perfusion Imaging in Evaluation of Cirrhosis Circulation[J].Ningxia Medical University,2013,(12):1362.
[10]陈学新,闫瑞,李振洲,等.吸入30%~40%浓度氧对肝硬化大鼠静注丙泊酚镇静效应的影响[J].宁夏医科大学学报,2013,(11):1223.
 CHEN Xuexin,YAN Rui,LI Zhenzhou,et al.The Sedative Effect of Inhaling 30%~40% Oxygen on Cirrhosis Rats Induced by Intravenous Injection of Propofol[J].Ningxia Medical University,2013,(12):1223.

备注/Memo

备注/Memo:
收稿日期:2018-06-01
基金项目:宁夏自然科学基金(NZ16179);宁夏回族自治区对外科技合作项目(宁科技字201420)
作者简介:张伟(1977-),男,硕士,副主任医师,从事血液内科工作
通信作者:包慎(1963-),男,主任医师,从事血液内科工作。 E-mail:3591060@qq.com
更新日期/Last Update: 2018-12-30