急性心肌梗死后并发自身免疫性溶血性贫血1例
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摘要
<正>1病例资料患者,男,40岁,2018年10月1日因"持续性胸痛4h余"就诊于外院,完善心电图、肌钙蛋白等检查,行急诊冠状动脉(冠脉)造影提示冠心病(3支病变),前降支近端急性完全闭塞,右冠次全闭塞(狭窄95%～99%)(图1),明确诊断为急性心肌梗死(AMI),予以急诊经皮冠脉介入(PCI)治疗。术
A 40-year-old male patient developed autoimmune hemolytic anemia after acute myocardial infarction.Anemia improved after hormone treatment.The possible mechanism of acute myocardial infarct-induced autoimmune hemolytic anemia is analyzed to provide the reference for clinical practice.
A 40-year-old male patient developed autoimmune hemolytic anemia after acute myocardial infarction.Anemia improved after hormone treatment.The possible mechanism of acute myocardial infarct-induced autoimmune hemolytic anemia is analyzed to provide the reference for clinical practice.
引文
[1]Hill QA,Stamps R,Massey E,et al.The diagnosis and management of primary autoimmune haemolytic anaemia[J].Br J Haematol,2017,176(3):395-411.
[2]Hill QA,Stamps R,Massey E,et al.Guidelines on the management of drug-induced immune and secondary autoimmune,haemolytic anaemia[J].Br J Haematol,2017,177(2),208-220.
[3]Barcellini W.New insights in the pathogenesis of autoimmune hemolytic anemia[J].Transfus Med Hemother,2015,42(5):287-293.
[4]Garratty G.Immune hemolytic anemia associated with drug therapy[J].Blood Rev,2010,24(4-5):143-150.
[5]Fujii J,Kurahashi T,Konno T,et al.Oxidative stress as a potential causal factor for autoimmune hemolytic anemia and syAMIc lupus erythematosus[J].World JNephrol,2015,4(2):213-222.
[6]刘德敏,贾宏宇,柴文静,等.自噬与氧化应激在心血管疾病中的研究进展[J].临床心血管病杂志,2018,34(4):402-407.
[7]吕祥威,徐彤彤.6-姜酚抑制氧化应激减轻大鼠心肌缺血/再灌注损伤[J].临床心血管病杂志,2017,33(6):575-579.
[8]刘保逸.急性心肌梗死患者外周血单个核细胞NAD-PH氧化酶2的表达和活性与氧化应激的关系研究[D].中国协和医科大学,2007.
[9]Kotur-Stevuljevic J,Memon L,Stefanovic A,et al.Correlation of oxidative stress parameters and inflammatory markers in coronary artery disease patients[J].Clin Biochem,2007,40(3-4):181-187.
[10]郑庆霜,王鹤儒,姜国芳,等.急诊PCI术后并发严重血小板减少1例[J].临床心血管病杂志,2018,34(10):1036-1038.
[11]修丽丽,杨爽,于波,等.急性心肌梗死后发生医院获得性贫血的影响因素及预后[J].现代生物医学进展,2016,16(30):5990-5993.
[2]Hill QA,Stamps R,Massey E,et al.Guidelines on the management of drug-induced immune and secondary autoimmune,haemolytic anaemia[J].Br J Haematol,2017,177(2),208-220.
[3]Barcellini W.New insights in the pathogenesis of autoimmune hemolytic anemia[J].Transfus Med Hemother,2015,42(5):287-293.
[4]Garratty G.Immune hemolytic anemia associated with drug therapy[J].Blood Rev,2010,24(4-5):143-150.
[5]Fujii J,Kurahashi T,Konno T,et al.Oxidative stress as a potential causal factor for autoimmune hemolytic anemia and syAMIc lupus erythematosus[J].World JNephrol,2015,4(2):213-222.
[6]刘德敏,贾宏宇,柴文静,等.自噬与氧化应激在心血管疾病中的研究进展[J].临床心血管病杂志,2018,34(4):402-407.
[7]吕祥威,徐彤彤.6-姜酚抑制氧化应激减轻大鼠心肌缺血/再灌注损伤[J].临床心血管病杂志,2017,33(6):575-579.
[8]刘保逸.急性心肌梗死患者外周血单个核细胞NAD-PH氧化酶2的表达和活性与氧化应激的关系研究[D].中国协和医科大学,2007.
[9]Kotur-Stevuljevic J,Memon L,Stefanovic A,et al.Correlation of oxidative stress parameters and inflammatory markers in coronary artery disease patients[J].Clin Biochem,2007,40(3-4):181-187.
[10]郑庆霜,王鹤儒,姜国芳,等.急诊PCI术后并发严重血小板减少1例[J].临床心血管病杂志,2018,34(10):1036-1038.
[11]修丽丽,杨爽,于波,等.急性心肌梗死后发生医院获得性贫血的影响因素及预后[J].现代生物医学进展,2016,16(30):5990-5993.