Propylthiouracil induced neutropenia clinical analysis of 74 cases.docVIP

下载本文档

3
0
约9.4千字
约 9页
2017-05-05 发布于浙江
举报
版权申诉

Propylthiouracil induced neutropenia clinical analysis of 74 cases.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Propylthiouracil induced neutropenia clinical analysis of 74 cases

Propylthiouracil induced neutropenia clinical analysis of 74 cases [Abstract] Objective propylthiouracil (PTU induced neutropenia incidence, clinical manifestations and treatment strategies. Methods 74 patients with PTU induced neutropenia in clinical features and treatment were statistically analyzed. Results granulocyte Most occurred in the medication to reduce symptoms after 2 to 8 weeks, and with the PTU dose related. Most cases are dizziness, fatigue and clinical symptoms. All the patients continue to use the PTU, add services or subcutaneous rise Baiyao colony stimulating factor (G-CSF , granulocytes were normal, no case of agranulocytosis. Conclusion PTU starting dose should not exceed 300mg / d, with the first 1 to 2 months, WBC count should be closely observed, oral l Baiyao or G-CSF for injection white blood cell recovery is effective and can avoid the occurrence of agranulocytosis. [Keywords:] Hyperthyroidism agranulocytosis Hyperthyroidism (mainly medical treatment of hyperthyroidism with antithyroid drugs (ATD, the most commonly used of methimazole and propylthiouracil (PTU, the drug is causing major side effects or lack of neutropenia, he Ba azole has been a lot in this area reported in the literature, PTU induced agranulocytosis there are some reports, but the PTU induced neutropenia rarely reported. We collected hospital outpatient and inpatient cases of the past five years, 74 patients were treated with PTU induced grain cells to reduce symptoms in patients with clinical data were analyzed, and described the side effects of treatment strategies, which prevent the occurrence of agranulocytosis have important clinical significance. 1 Clinical data 1.1 The objects were 74 cases of outpatient and inpatient patients with hyperthyroidism, including 25 males and 49 females, aged 21 to 50 years old, average 32.8 years of age, duration of 1 to 14 months, an average of 4.2 months in all patients before the use of PTU white blood cell count we