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目的探讨结核病导致的血液系统损害的临床特点。方法回顾性分析3例以血液系统损害为突出表现的初治结核患者的临床资料并复习相关文献。结果结核病合并血液系统损害的表现多样,3例患者在抗结核治疗的基础上给予免疫抑制剂、促造血等治疗后取得较好疗效。结论血液学异常可作为结核病的特殊表现,结核作为继发性血细胞减少的病因是可以治愈的。
Objective To investigate the clinical features of blood-system damage caused by tuberculosis. Methods The clinical data of 3 newly diagnosed tuberculosis patients with prominent blood system damage were retrospectively reviewed and relevant literatures were reviewed. Results The manifestations of tuberculosis complicated with blood system damage varied. Three patients received immunosuppressive agents on the basis of antituberculous therapy, and achieved good therapeutic effects after hematopoietic and other treatment. Conclusion Hematological abnormalities can be used as a special manifestation of tuberculosis. Tuberculosis can be cured as the cause of secondary cytopenias.