大剂量免疫球蛋白联合糖皮质激素治疗儿童出血性水痘1例  

One Case of Child Hemorrhagic Varicella treated by Combine High-dose Immunoglobulin with Glucocorticoids

作　　者：薛乾富[1] 雷山川[1] 

机构地区：[1]重庆医科大学附属永川医院,重庆402160

出　　处：《中国皮肤性病学杂志》2011年第8期615-615,620,共2页The Chinese Journal of Dermatovenereology

摘　　要：目的探讨出血性水痘治疗方法。方法应用糖皮质激素与大剂量免疫球蛋白(7.5g,1次/d,共4天)治疗1例儿童出血性水痘患者(男,6岁),并对其进行治疗分析。结果经治疗后,患儿全身脏器出血在短期内得到控制,1周后血小板恢复正常,皮疹基本消退。结论出血性水痘是一种病情较凶险的特殊类型水痘,治疗上除常规抗病毒、止血等对症治疗外,可探索性短期给予适量的糖皮质激素与大剂量免疫球蛋白治疗。Objective To investigate the method of the treatment to hemorrhagic varicella. Method A 6-year-old boy with hemorrhagic varicella was treated by glucocorticoids combined with high-dose immunoglobulin （7.5g once a day for 4 days）. Results The organs＇bleeding was controlled in short order by this therapeutic schedule. The counts of platelet recovered to normal and skin rashes almost subsided after 1 week. Conclusion High-doses immunoglobulin combined with glucocorticoids could be used to treat the hemorrhagic varicelia in a short time, besides the symptomatic treatment such as antiviral and hemostasis.

关 键 词：免疫球蛋白 糖皮质激素 水痘 出血 

分 类 号：R511.5[医药卫生—内科学]