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[一名获得性因子 VIII 抑制剂年轻女性患者采用因子 VIII 与免疫抑制剂联合治疗]

[Combined treatment with factor VIII and immunosuppressive agents in a young woman with acquired factor VIII inhibitor].

作者信息

José Aguado M, Carrasco V, Periago A, Bello T, González E, García-Talavera J

机构信息

Servicio de Hematología y Hemoterapia, Complejo Hospitalario Nuestra Señora de Candelaria.

出版信息

Sangre (Barc). 1996 Apr;41(2):147-50.

PMID:9045356
Abstract

A twenty seven year-old woman is reported with severe haemorrhagic symptoms caused by an acquired coagulant factor VIII inhibitor eleven months after delivery. The inhibitor was quantified as 77 units according to the Bethesda method. Steroids treatment and high-dose immunoglobulins failed to elicit any response. Combined chemotherapy will cyclophosphamide, vincristine and prednisone after intravenous factor VIII, every fourth week, succeeded in eradicating the acquired inhibitor and progressively restoring the rates of factor VIII in this patient with acquired haemophilia.

摘要

据报道,一名27岁女性在分娩11个月后出现由获得性凝血因子VIII抑制剂引起的严重出血症状。根据贝塞斯达方法,该抑制剂定量为77单位。类固醇治疗和大剂量免疫球蛋白均未引起任何反应。在静脉注射凝血因子VIII后,每四周联合使用环磷酰胺、长春新碱和泼尼松进行化疗,成功根除了获得性抑制剂,并逐步恢复了该获得性血友病患者的凝血因子VIII水平。

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