嗜酸性粒细胞增多综合征合并心肌梗死1例并文献复习  

One Case of Hypereosinophilic Syndrome Complicated with Myocardial Infarction and Literature Review

作　　者：张媛媛 张红宇 Zhang Yuan-yuan;Zhang Hong-yu(Shantou University Medical College,Shantou 515000,Guangdong Province,China;Department of Hematopathology,Peking University Shenzhen Hospital,Shenzhen 518000,Guangdong Province,China;Department of General Practice,University of Hong Kong–Shenzhen Hospital,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]汕头大学医学院,广东汕头515000 [2]北京大学深圳医院血液内科,广东深圳518000 [3]香港大学深圳医院全科医学科,广东深圳518000

出　　处：《罕少疾病杂志》2023年第9期5-8,共4页Journal of Rare and Uncommon Diseases

摘　　要：目的 目前国内对嗜酸性粒细胞增多综合征(Hypereosinophilic Syndrome,HES)合并心肌梗死的病例报道较少,本文通过分析总结治疗HES合并心肌梗死患者的经验,为临床提供借鉴。方法 回顾性分析北京大学深圳医院血液科收治的1例HES合并心肌梗死的临床资料,并进行文献复习。以“嗜酸性粒细胞,急性心梗”为中文关键词,以“eosinophilic,acute myocardial infarction”为英文关键词,在中国知网、万方及PubMed数据库进行文献检索。结果 (1)本文报道的患者入院诊断为HES,住院期间出现心肌梗死,予以大剂量激素静脉治疗后病情好转平稳出院。(2)文献检索结果:检索自1990年1月到2023年5月期间,HES合并急性心梗的中英文文献12篇,报道12例病例,其中中文4篇,英文8篇。结论 嗜酸性粒细胞增多综合征发病率低,临床表现不典型,在发现血液和(或)组织中嗜酸性粒细胞明显增多时应及时完善相关检查评估病因明确诊断,及时考虑激素治疗,以免引起如心梗或脑梗等危及患者生命的并发症。Objective At present,few cases of Hypereosinophilic Syndrome(HES)complicated with myocardial infarction were reported in China.This paper analyzed and summarized the experience of HES complicated with myocardial infarction to provide reference for clinical practice.Methods The clinical data of a HES patient with myocardial infarction admitted to the hematology department of Peking University Shenzhen Hospital were retrospectively analyzed,and the literature was reviewed.Literature searches were conducted in CNKI,Wanfang and PubMed using"eosinophilic,

关 键 词：嗜酸性粒细胞增多综合征 急性心梗 病例报道 文献复习 

分 类 号：R557.3[医药卫生—血液循环系统疾病]