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非典型溶血尿毒综合征(HUS)在长期无尿后恢复:一例病例报告。

Atypical hemolytic-uremic syndrome (HUS) with recovery after a long-lasting anuria: a case report.

作者信息

Georgaki-Angelaki H, Stergiou N, Kapogiannis A, Orfanou I, Grapsa B, Roma E

出版信息

Hippokratia. 2011 Jan;15(1):90-2.

Abstract

We report a case of a seven-year-old girl who suffered from atypical Hemolytic Uremic Syndrome (aHUS) complicated by septicaemia, central nervous system involvement, and cholangiitis. She remained anuric requiring treatment with peritoneal dialysis (PD) for a five-month period. In addition to conventional therapeutic measures including fresh frozen plasma (FFP) and blood cells transfusions she also underwent to plasma exchange (PE) treatment. Following a stormy hospitalization period of 17 weeks, the patient finally regained renal function and three years later she remains well on antihypertensive treatment and free of dialysis.

摘要

我们报告了一例七岁女孩,她患有非典型溶血尿毒综合征(aHUS),并伴有败血症、中枢神经系统受累和胆管炎。她持续无尿,需要进行为期五个月的腹膜透析(PD)治疗。除了包括新鲜冰冻血浆(FFP)和输血在内的常规治疗措施外,她还接受了血浆置换(PE)治疗。经过17周的波折住院治疗后,患者最终恢复了肾功能,三年后,她在接受降压治疗且未进行透析的情况下状况良好。

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J Am Soc Nephrol. 2005 Apr;16(4):1035-50. doi: 10.1681/ASN.2004100861. Epub 2005 Feb 23.
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Typical and atypical hemolytic uremic syndrome.典型和非典型溶血尿毒综合征
Kidney Blood Press Res. 1996;19(3-4):205-8. doi: 10.1159/000174075.

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