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摘要


斯福症候群是一罕見疾病,本病例報告乃台灣公開報導的首例,此疾病的主要症狀是合併短暫性血脂症、黃疸、溶血性貧血及脂肪肝等。本例患者住院初期出現嚴重的血脂症,四天後自動消失,而血紅素由原來的15.5gm/dl急促下降至7.3gm/d1,且合併非接合型高膽紅素血症,然而大便中的潛血反應呈陰性、網狀血球數目增加。紅血球的脆性試驗及Coomb's test檢查正常。肝臟活體切片檢查,呈現肝臟有脂肪肝變性。 綜合上述的發現與1958年斯福所敘述相吻合。

並列摘要


Zieve's syndrome has never been reported in Taiwan. It is a rare disease characterized by transient hyperlipemia, jaundice and hemolytic anemia in association with alcoholic liver disease. In this case, laboratory investigation revealed marked lipemia which normalized four days later. Hemoglobin dropped sharply from 15.5gm/dl to 7.3gmldl and was associated with hyperbilirubinemia of indirect type. The stool was negative for occult blood. The reticulocyte count increased. The red blood cell fragility test was within normal limits. Coomb's test was negative. Percutaneous liver biopsy showed fatty metamorphosis. The above statements are all similar to those described by Zieve in 1958.

延伸閱讀


  • 辜柏楠、黃峰霖、蔡林坤(1993)。彼得氏複合症候群中華民國眼科醫學會雜誌32(3),356-359。https://doi.org/10.30048/ACTASOS.199309.0015
  • 林杞(2015)。亞斯伯格症候群(Asperger)諮商與輔導(351),48-48(2)。https://www.airitilibrary.com/Article/Detail?DocID=16846478-201503-201504300026-201504300026-48-48(2)
  • 黃柏青、邱建勳(2011)。威廉氏症候群當代醫學(453),519-521。https://doi.org/10.29941/MT.201107.0008
  • 李珊珊、施月玲、陳雅莉(2004)。布魯格逹氏症候群榮總護理21(3),230-235。https://doi.org/10.6142/VGHN.21.3.230
  • 鄭玫枝、吳子聰(1991)。Gardner症候群Acta Paediatrica Sinica32(s_4),14-15。https://www.airitilibrary.com/Article/Detail?DocID=00016578-199111-32-s_4-14-15-a

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