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題 名 | 一名泰國外勞在二甲苯與瀝青間斷性使用後發生急性溶血性貧血合併骨髓再生不良危機與嗜酸性白血球增高病歷報告=Acute Hemolysis with Aplastic Crisis and Eosinophilia in a Thai Labor after Intermittently Using Xylene and Asphalt |
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作 者 | 彭洪文; 鄭幼文; 董文慶; 陳昭安; 詹正雄; 周純芬; | 書刊名 | 中華職業醫學雜誌 |
卷 期 | 6:3 1999.07[民88.07] |
頁 次 | 頁173-177 |
分類號 | 415.6 |
關鍵詞 | 血液職業病; 溶血性貧血; 骨髓再生不良; 嗜酸性白血球增高; |
語 文 | 中文(Chinese) |
中文摘要 | 溶血性貧血是中國南方與東南亞人種間常見的遺傳病,在泰國常見的溶血性貧血 有alpha型海洋性貧血症(a-thalassemia)、beta型海洋性貧血性症(b-thalassemia)、血色素E型 溶血性貧血(Hb E)、G-6PD缺乏症,另外亦有不穩定血色素異變(unstable hemoglobin)造成貧 血。本篇病歷報告說明一名泰國勞工,在台灣工作一年,發生急性溶血與骨髓再生不良危機 合併嗜酸性白血球增高,我們以血液職業病的觀點來探討血相變化。 |
英文摘要 | A 34-yr-old Thai labor with a history of recurrent jaundice, was admitted to Armed Force Taoyuan General Hospital for severe anemia and thrombocytopenia. He came to Taiwan a year ago, and worked in a factory where he used xylene and asphalt monthly to make machines water-proofed. Physical examination revealed a pale looking adult with skin and scleral icterus. No purpura or ecchymoses was formed. Laboratory data showed a Hb: 3.4 gm/dl, RBC: 1.08×10□/ul, hct: 11.1%, MCV: 103.2 fl, platelet: 42×10□□/ul, WBC: 4280 ul. Differential count of WBC was as followed: neutrophils: 31.8%, lymhocytes: 37.6%, monocytes: 7.6%, eosinophils: 18.9%. Total bilirubin was 3.7 gm/dl (indirect billirubin 3.2 gm/dl), creatine: 1.1 mg/dl, BUN: 17 mg/dl, Coombs'test: negative, anti-nuclear antibody: negative. He received blood transfusion with 2 packed RBC for four days. Daily vitamine B□ and folic acid were given. Bone marrow examination on day 7 showed markedly erythroid hyperplasia with immature platelets. After the condition was stable, he back to Thailand at day 10 voluntarily. The possibilities of his hematological problems might be caused by (1) underlying chronic hemolytic anemia, and (2) acute hemolysis induced by chemical or infectious agent, such as parvovirus B19, or (3) pre-cancer stage of blood malignancy. Since so many foreign labors from southeastern Asian countries in Taiwan, the hematological diseases from occupational exposure could be diverse and needed more attentions. |
本系統中英文摘要資訊取自各篇刊載內容。