妊娠合并嗜血细胞综合征1例

Pregnancy with hemophagocytic lymphohistiocytosis: A case report

目的探讨妊娠合并嗜血细胞综合征的临床表现、治疗、分娩及预后情况。方法对2018年5月解放军第一医学中心产科收治1例妊娠合并嗜血细胞综合征患者的临床资料、分娩情况、术后处理及随访资料进行分析。结果患者29岁,宫内孕31+2周,发热13 d,2018年5月8日急诊在全麻下行子宫下段剖宫产术,术后转重症医学科,诊断为妊娠合并嗜血综合征,术后予以对症和地塞米松、依托泊苷治疗,恢复好。结论妊娠合并嗜血综合征应尽早明确诊断,积极终止妊娠后,给予规范治疗,预后良好。

Objective To study the clinical manifestation,treatment,prognosis,and delivery outcome of a case with hemophagocytic syndrome in pregnancy.Methods Clinical data,delivery outcome and follow-up data of a pregnant woman complicated with hemophilia syndrome treated in the obstetrics department of the first medical center of Chinese PLA General Hospital in May 2018 were analyzed.Results A 29 years old female presented with fever at 31 weeks 2 days gestation for 13 days.The patient underwent emergency cesarean section under general anesthesia on May 8,2018,and then was transferred to ICU.She was diagnosed as pregnancy with hemophagocytic syndrome,and received symptomatic treatment,dexamethasone and etoposide after operation.During the follow-up,the patient recovered gradually.Conclusion Pregnancy complicated with hemophagocytic syndrome needs to be diagnosed as soon as possible,and standard treatment should be given after termination of pregnancy to achieve good prognosis.