摘要
目的:探讨原发性骨髓纤维化(PMF)合并脾伤寒脓肿的临床特点,以提高对该病的认识。方法:对我院收住的1例PMF合并脾伤寒脓肿的患者的临床资料进行分析和文献复习,为该病的诊断及治疗提供思路。结果:PMF患者在疾病发生、发展过程中容易继发感染,而脾脏肿大易导致病菌在脾内留滞。PMF患者在伤寒杆菌败血症的基础上容易并发脾伤寒脓肿。结论:临床医师应提高对PMF合并脾伤寒脓肿的认识,早期诊断,早期治疗,提高患者生存率,改善预后。
Objective： To analyze the clinical manifestations, diagnosis, treatment of the patient with splen-ic abscess of typhoid fever secondary to primary myelofibrosis. Methods： The clinical data, including baseline clinical data, clinical features, past history, pathogen culture result, treatment of the patient with splenic abscess of typhoid fever secondary to primary myelofibrosis retrieved from the Third Affiliated of Wenzhou Medical Uni- versity were collected and analyzed and the literatures on this topic were reviewed. Results： Patients with PMF were vulnerable to infectious disease for some facts in the disease progresses, and when splenomegaly pathogen seemed more easy to colonize. In the case of Salmonella bacteremia, the patient with PMF seemed to have an increased frequency of evolving into splenic abscess scess of typhoid fever are clinically rare and easy to this disease. of typhoid fever. Conclusion： The patients with splenic ab- rnisdiagnose, clinician should increase the understanding of
出处
《温州医科大学学报》
CAS
2016年第2期144-146,共3页
Journal of Wenzhou Medical University
关键词
原发性骨髓纤维化
伤寒
脾脓肿
primary myelofibrosis
typhoid fever
splenic abscess
