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低剂量糖皮质激素治疗程序性死亡受体1单抗诱发的重症心肌炎一例 被引量:3

Successful treatment of anti-programmed cell death protein 1 antibody induced severe myocarditis with low-dose glucocorticoids:a case report
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摘要 44岁女性患者,因梭形细胞肉瘤予程序性死亡受体1(PD-1)单抗特瑞普利单抗治疗后50d左右出现心悸、胸痛症状入院,心电图检查提示室性心动过速,复律后心电图检查提示前壁、下壁异常Q波及ST段抬高,心肌损伤标志物持续升高,合并有甲状腺功能减退、肌炎、视乳头水肿,结合心脏彩超检查,临床诊断PD-1单抗相关心肌炎,予低剂量糖皮质激素及硫唑嘌呤治疗后临床痊愈。
作者 蒋秋琼 袁杰 Jiang Qiuqiong;Yuan Jie(Department of Cardiology,Shenzhen Cardiovascular Minimally Invasive Medical Engineering Technology Research and Development Center,Shenzhen People′s Hospital(The Second Clinical Medical College,Jinan University,the First Affiliated Hospital,Southern University of Science and Technology),Shenzhen 518020,China)
出处 《中华内科杂志》 CAS CSCD 北大核心 2021年第6期563-566,共4页 Chinese Journal of Internal Medicine
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