食管静脉曲张破裂出血患者合并类白血病反应1例  

Esophagogastric variceal bleeding with leukemoid reaction:A case report

作　　者：陈炳芳[1] 张银[1] 孙静[1] 沈婷[1] 王莉[1] 陈建平[1] 

机构地区：[1]常州市第一人民医院消化内科,江苏省常州市213003

出　　处：《世界华人消化杂志》2017年第35期3167-3170,共4页World Chinese Journal of Digestology

摘　　要：类白血病反应是由细菌、病毒严重感染,恶性肿瘤播散、大出血、急性溶血及某些药物反应等因素诱发的机体防御反应,其发病机制尚不完全明确.且国内外文献报道大多与感染、恶性肿瘤相关,但与出血相关鲜有报道.本中心分享一例食管静脉曲张破裂出血、肝硬化失代偿期的患者合并类白血病反应,经治疗原发病后白细胞水平逐渐下降至恢复正常.Leukemoid reaction is a defense reaction to severe bacterial or viral infection, tumor metastasis, massive hemorrhage, acute hemolysis, and some drugs. The mechanism of leukemoid reaction is still unclear. The majority of published cases of leukemoid reaction are related to infection or malignant tumor, and leukemoid reaction resulting from hemorrhage is rarely reported. Here we report a case of leukemoid reaction in a patient with esophageal variceal bleeding and decompensated liver cirrhosis. After hemorrhage was controlled, the patient＇s leukocyte count gradually returned to the normal level.

关 键 词：食管胃底静脉曲张破裂出血 肝硬化失代偿期 类白血病反应 

分 类 号：R575.2[医药卫生—消化系统]