急性酒精性肝炎中的高胆红素血症和溶血性贫血：其静脉中有“油”。
Hyperbilirubinaemia and haemolytic anaemia in acute alcoholic hepatitis: there's oil in them thar veins.
作者信息
Hashmi Salman, Allison Michael G, McCurdy Michael T, Reed Robert M
机构信息
Department of Pulmonary and Critical Care Medicine, University of Maryland, Baltimore, Maryland, USA.
出版信息
BMJ Case Rep. 2014 Apr 19;2014:bcr2014203804. doi: 10.1136/bcr-2014-203804.
Abstract
A Caucasian woman in her late 30s was evaluated after a period of binge drinking and found to have hyperbilirubinaemia for which she was referred for consideration of cholecystectomy. After exclusion of other possibilities, Zieve's syndrome was diagnosed. This is a condition of hyperbilirubinaemia, Coombs' negative haemolytic anaemia and hyperlipidaemia associated with alcoholism. Abstinence from alcohol remains the only known effective treatment, and appreciation of the entity can prevent unnecessary biliary procedures. The patient improved with supportive measures and was discharged in stable condition.
摘要
一名30多岁的白种女性在一段狂饮期后接受评估，发现患有高胆红素血症，因此被转诊考虑行胆囊切除术。排除其他可能性后，诊断为齐夫综合征。这是一种与酒精中毒相关的高胆红素血症、库姆斯试验阴性的溶血性贫血和高脂血症。戒酒仍然是唯一已知的有效治疗方法，认识到这种疾病可以避免不必要的胆道手术。患者通过支持性措施病情好转，出院时情况稳定。
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