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在一个老年患者中注入铁性碳素马尔托后的白血病反应
Venugopal Mantry1, Akshata Rao1, Swarup Das1
1Department of Geriatric Medicine, All India Institute Of Medical Sciences New Delhi, New Delhi, Delhi, India.
BMJ case reports
|January 22, 2026
概括
一种罕见的白血病反应,即白血细胞的非恶性增加,可在铁性碳糖注后发生. 这种不良事件,即使在先前耐受性较高的老年人中,也需要在临床实践中考虑.
科学领域:
- 血液学 血液学 血液学
- 内部医学 内部医学
- 老年病的医生 老年病的医生
背景情况:
- 白血病反应是白细胞的非恶性增加,通常>30,000/mm3.
- 它通常是由感染,恶性瘤或药物暴露引起的.
- 静脉注射铁输液后发生的情况很少见.
研究的目的:
- 为了报告一个罕见的白血病反应的情况,铁性碳酸盐输注后.
- 为了强调老年患者这种潜在的不良事件.
主要方法:
- 一个老年男性患者的病例报告.
- 对临床表现,实验室发现和诊断调查进行了审查.
- 监测了对支持性护理的反应.
主要成果:
- 患者在第二次铁性碳胺注射后出现了急性白细胞症 (>30,000/mm3) 与全身炎症征兆,透氨酸炎和急性损伤.
- 感染和恶性瘤被排除在外.
- 随着支持性护理,患者的病情有所改善.
结论:
- 白血病反应是一种罕见的,但可能是铁性碳酸输注的不良事件,特别是在老年人中.
- 考虑白血病反应是很重要的,即使之前的输液被容忍.
- 老年人的评估可能有助于预测患者的性和指导管理.
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