医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
7期
1200-1202,1203
,共4页
杨小芸%李蓉(综述)%沈丽达(审校)
楊小蕓%李蓉(綜述)%瀋麗達(審校)
양소예%리용(종술)%침려체(심교)
噬血细胞综合征%结外NK/T细胞淋巴瘤鼻型%诊断%治疗%预后
噬血細胞綜閤徵%結外NK/T細胞淋巴瘤鼻型%診斷%治療%預後
서혈세포종합정%결외NK/T세포림파류비형%진단%치료%예후
Hemophagocytic syndrome%Extranodal NK/T-cell lymphoma nasal type%Diagnosis%Treat-ment%Prognosis
噬血细胞综合征( HPS)不是一种独立的疾病,而是一组临床综合征,临床特征是持续性发热、肝脾大、血细胞减少及在骨髓、肝脾和淋巴结的组织细胞噬血现象。 HPS 分为原发性和继发性两种类型。恶性肿瘤特别是恶性淋巴瘤是引起成人继发性 HPS的主要原因。结外 NK/T细胞淋巴瘤相关性HPS( NK/T-LAHS)临床上少见且致死率高,其临床表现不典型,早期诊断困难,治疗效果差,预后不佳,值得临床医师重视。
噬血細胞綜閤徵( HPS)不是一種獨立的疾病,而是一組臨床綜閤徵,臨床特徵是持續性髮熱、肝脾大、血細胞減少及在骨髓、肝脾和淋巴結的組織細胞噬血現象。 HPS 分為原髮性和繼髮性兩種類型。噁性腫瘤特彆是噁性淋巴瘤是引起成人繼髮性 HPS的主要原因。結外 NK/T細胞淋巴瘤相關性HPS( NK/T-LAHS)臨床上少見且緻死率高,其臨床錶現不典型,早期診斷睏難,治療效果差,預後不佳,值得臨床醫師重視。
서혈세포종합정( HPS)불시일충독립적질병,이시일조림상종합정,림상특정시지속성발열、간비대、혈세포감소급재골수、간비화림파결적조직세포서혈현상。 HPS 분위원발성화계발성량충류형。악성종류특별시악성림파류시인기성인계발성 HPS적주요원인。결외 NK/T세포림파류상관성HPS( NK/T-LAHS)림상상소견차치사솔고,기림상표현불전형,조기진단곤난,치료효과차,예후불가,치득림상의사중시。
Hemophagocytic syndrome(HPS) is not an independent disease but a clinical syndrome with a group of clinical features such as persistent fever,hepatosplenomegaly,cytopenia,and hemophagocytosis in bone marrow,liver,spleen,and lymphonode.HPS can be classified into primary and secondary types.Malig-nancies,particularly malignant lymphoma,are the leading causes of HPS in adults.Extranodal NK/T-cell lymphoma-associated HPS ( NK/T-LAHS ) is a rare but life-threatening desease.Due to atypical clinical manifestations,difficulties in early diagnosis, poor efficacy and poor prognosis, special attention to NK/T-LAHS should be paid by the clinicians.