摘要:患者,女性,39岁。因“咳嗽、潮热、盗汗14个月,并皮肤紫癜3d”入院。14个月前无明显诱因出现咳嗽、咯血、每天约10ml,伴有潮热、盗汗及纳差,1个月前曾在外院诊断为“肺结核”予“HRZE”抗结核治疗,3d前患者出现皮肤瘀点及瘀斑。既往曾有“磺胺”过敏史。入院查体:慢性病容,全身皮肤可见散在分布的瘀点及瘀斑,尤以下肢为甚。X线胸片示右上肺团块状影,胸部CT示双上肺点片及团块状影,ESR34mm/h、血象Hb 75g/L,WBC4.8×10^-9/L、BPC24.0×10^-9/L。诊断双上肺结核,痰涂(+)并血小板减少症。入院后停用抗结核药,加用强的松10ml,每日3次治疗,1周后血小板升至132×10^-9/L、考虑RFP所致的可能性大,HZE治疗观察,10d后血小板降至40×10^-9/L,停用INH后1周BPC恢复至124×10^-9/L,改用RZE治疗,
关键词:血小板减少症 inh rfp 抗结核治疗 sm
单位:贵州省都匀四一四医院感染科; 都匀558004
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