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使用磺胺嘧啶银进行局部烧伤治疗期间的急性白细胞减少症。

Acute leukopenia during topical burn therapy with silver sulfadiazine.

作者信息

Jarrett F, Ellerbe S, Demling R

出版信息

Am J Surg. 1978 Jun;135(6):818-9. doi: 10.1016/0002-9610(78)90173-3.

DOI:10.1016/0002-9610(78)90173-3
PMID:665909
Abstract

Leukopenia, with a mean white blood cell count of 2,680/mm3, was observed in nine patients with thermal injury early in the course of topical treatment with silver sulfadiazine. All manifested absolute neutropenia with a concomitant increase in immature band forms in the peripheral blood smear. The leukocyte counts returned to within normal limits within 48 to 72 hours of discontinuation of silver sulfadiazine therapy in four patients, and also did so in five patients in whom silver sulfadiazine therapy was continued. Leukopenia secondary to silver sulfadiazine application is currently believed to be an innocuous, self-limited phenomenon.

摘要

在9例热烧伤患者局部应用磺胺嘧啶银治疗的早期过程中,观察到白细胞减少,平均白细胞计数为2680/mm³。所有患者均表现为绝对中性粒细胞减少,同时外周血涂片显示未成熟带状核细胞增多。4例患者在停用磺胺嘧啶银治疗后48至72小时内白细胞计数恢复至正常范围,另外5例继续使用磺胺嘧啶银治疗的患者白细胞计数也恢复正常。目前认为,应用磺胺嘧啶银继发的白细胞减少是一种无害的、自限性现象。

相似文献

1
Acute leukopenia during topical burn therapy with silver sulfadiazine.使用磺胺嘧啶银进行局部烧伤治疗期间的急性白细胞减少症。
Am J Surg. 1978 Jun;135(6):818-9. doi: 10.1016/0002-9610(78)90173-3.
2
Leukopenia in acute thermal injury: evidence against topical silver sulfadiazine as the causative agent.急性热损伤中的白细胞减少症:反对局部使用磺胺嘧啶银作为致病因素的证据。
J Burn Care Rehabil. 1989 Sep-Oct;10(5):418-20. doi: 10.1097/00004630-198909000-00008.
3
Acute leukopenia associated with silver sulfadiazine therapy.与磺胺嘧啶银治疗相关的急性白细胞减少症。
J Trauma. 1978 Feb;18(2):146-7. doi: 10.1097/00005373-197802000-00016.
4
Leukopenia secondary to silver sulfadiazine: frequency, characteristics and clinical consequences.
Am Surg. 1987 Sep;53(9):515-7.
5
A controlled study of the effects of silver sulfadiazine on white blood cell counts in burned children.一项关于磺胺嘧啶银对烧伤儿童白细胞计数影响的对照研究。
J Trauma. 1977 Nov;17(11):835-6.
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Transient leukopenia associated with topical silver sulfadiazine in burn therapy.烧伤治疗中与局部应用磺胺嘧啶银相关的短暂性白细胞减少症。
Nebr Med J. 1987 Mar;72(3):83-5.
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Leukopenia in non-septic burn patients receiving topical 1% silver sulfadiazine cream therapy: a survey.接受局部1%磺胺嘧啶银乳膏治疗的非脓毒症烧伤患者的白细胞减少症:一项调查
J Burn Care Rehabil. 1988 Nov-Dec;9(6):606-9. doi: 10.1097/00004630-198811000-00006.
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Leukopenia secondary to sulfadiazine silver.磺胺嘧啶银继发的白细胞减少症。
JAMA. 1979 May 4;241(18):1928-9.
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Topical silver sulphadiazine and profound neutropenia in a burned child.一名烧伤儿童使用局部磺胺嘧啶银与严重中性粒细胞减少症
Burns Incl Therm Inj. 1986 Apr;12(4):295-6. doi: 10.1016/0305-4179(86)90136-1.
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Leukopenia and silver sulfadiazine.白细胞减少症与磺胺嘧啶银
J Trauma. 1982 Jul;22(7):586-7. doi: 10.1097/00005373-198207000-00010.

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