在非感染住院患者使用皮质类固醇后白细胞计数的增加
Erin Sullivan1, Rebecca Schulte2, Michael B Rothberg3
1Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Journal of hospital medicine
|February 11, 2025
概括
皮质类固醇可以增加白细胞 (WBC) 数. 预计在高剂量类固醇服用后48小时内增加至4.84 × 10 ^ 9 / L,这表明其他原因导致更大的增加.
科学领域:
- 临床医学 临床医学
- 药理学 药理学是指药理学的学科.
- 血液学 血液学 血液学
背景情况:
- 已知皮质类固醇会提高白细胞 (WBC) 计数.
- 从临床上看,区分类固醇诱导的白细胞瘤与感染相关的增加是重要的.
研究的目的:
- 为了量化在住院患者中使用皮质类固醇后白细胞计数的增加.
- 在没有混杂条件的患者中确定类固醇诱导白细胞症的参考范围.
主要方法:
- 从2017-2018年对28425名患者进行的回顾性队列研究.
- 分析的白细胞计数轨迹按皮质类固醇剂量分层分层.
- 排除了患有恶性瘤,感染或免疫抑制的患者.
主要成果:
- 类固醇注射后48小时,白细胞计数达到峰值.
- 平均白细胞增加因剂量而异:0.3 × 10^9/L (低),1.7 × 10^9/L (中等) 和4.84 × 10^9/L (高).
- 在不服用类固醇的患者中,白细胞计数下降.
结论:
- 在48小时内,白细胞计数增加至4.84 × 10 ^ 9 / L,可归因于高剂量的类固醇.
- 随着低剂量类固醇的显著增加或任何增加,需要对白细胞症的其他原因进行调查.
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