摘要
中性粒细胞减少性小肠结肠炎(NE)是一种威胁生命的并发症,主要见于接受强烈化疗的急性白血病患者,病变涉及回肠末端、盲肠或升结肠。在罕见病例中,NE会在化疗前出现或累及肠道更远端。
Neutropenic enterocolitis (NE) is a life-threatening complication most commonly seen in patients receiving intensive chemotherapy for acute leukemia. The condition usually affects the terminal ileum, cecum, or ascending colon. In rare instances, NE may occur before the initiation of chemotherapy or involve more distal bowel. The authors report the case of a 2 - year-old girl who had NE affecting the descending colon as a presenting complication of acute lymphoblastic leukemia. Despite aggressive medical interventions, including granulocyte infusions, she had a delayed bowel perforation that was managed successfully with surgery. This case highlights the challenges of treating patients who have NE as an initial manifestation of acute leukemia.
