作为原发性肠扩散型大B细胞淋巴瘤的初始表现,急性肝衰竭和严重的乳酸化:病例报告
Hideki Mori1, Shiro Miura2, Momoko Soeda2
1Department of General Internal Medicine, NHO Nagasaki Medical Center, Omura, Nagasaki, Japan.
Leukemia research reports
|March 5, 2026
概括
扩散性大B细胞淋巴瘤 (DLBCL) 很少表现为急性肝衰竭 (ALF) 与乳酸性酸性. 这一案例凸显了这种侵袭性淋巴瘤呈现的诊断挑战.
科学领域:
- 在瘤学瘤学.
- 肝病学 肝病学是一种肝病学.
- 紧急医疗 紧急医疗
背景情况:
- 扩散性大B细胞淋巴瘤 (DLBCL) 通常表现为淋巴腺病变或外节质.
- 很少情况下,DLBCL可以呈现为急性肝衰竭 (ALF) 与严重的乳酸化,这给诊断带来了挑战.
研究的目的:
- 报告一个DLBCL病例,呈现为 fulminant ALF,白血病反应和极端乳酸化.
- 突出诊断的困难和诊断的概念.
- 代谢灾难是一种代谢灾难.
- 在紧急情况下.
主要方法:
- 一个79岁的男性患者的病例报告.
- 分析了临床表现,重症监护管理和尸检发现.
主要成果:
- 该患者出现了 fulminant ALF,白血病反应和极端乳酸化.
- 尽管在重症监护室,他进展到多器官衰竭和过期.
- 尸体解剖证实原发性肠道DLBCL与扩散性肝脏透.
结论:
- 这一案例强调了DLBCL呈现为ALF和代谢灾难的诊断挑战.
- 早期识别ALF,白血病反应和乳酸,应该引起对攻击性淋巴瘤的怀疑.
- 在这种关键情况下,考虑侵入性诊断程序至关重要.
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