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Omenn disease ' '

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Omenn disease ' ' – PowerPoint PPT presentation

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Title: Omenn disease ' '


1
???? ?????? ?????Omenn disease????? ?. ?????
???????? ?. ???? ??????
2
???? ??????
  • 29 \12\2007
  • ??? ????? ???? 39 ????? 3150 ?
  • ????? ?????? ????? ?1 1 (???? ??????-
    ?????-???lt100 ) _ ? 5 9 .
  • ???? ???? ??????? ?????????
  • ???? 26 ??? ??????? ????? ?? ????? ?????? ?????
    ?? ???? ?? ??? ??? ??? ???? ?? ????? ??????
  • ??? ?????? ???? ???? ??? ???? ????? ????? ????
    ?????? ????? ??? ???? ????? ?????? ????? ?????
    ?????? ?????? ?? ??? ?????? ????? _ ?? ???? _ ??
    ????? ?????? ???? ??? ????????? f i o225????
    ??? ??????? ????? .

3
(No Transcript)
4
(No Transcript)
5
  • Pt21sec ptt24sec INR1,91 CXRnormal ??????
    45,5
  • WBC20 NEUT47 LYMP28 EOS36,7
    BASO1,6 HB17,8 PLT167 CA1,86
    Cr71,7 K6 Na140 ALT22
    UREA4,97 IGM(TOTAL)40(50-300
  • 3\1\2008
  • ???? ??? ????? ??? ?????? ?????? lt100\? _ ??????
    ??? ????????? _ ?? ??????? ????? ?????????
    ??????? ???????? ????????.

6
???? ??????
  • 6\1\2008
  • ????? ???????? ???????? _ ???? ????? 38,5 ??????
    ??? ???????? ??????? ????? ??? 2 ?? ????? ????
    3 ??
  • Fio2 23 HB14,5 PLT149 AST 90
  • ?? ????? ??? ???? ??????? ??????? ?????? ????????
    ?? ???? ???
  • ???? ?? ??????.
  • ????? ????? ??????
  • ?? ????? FNA?????? ??????? ???? ????????.
  • 10\1\2008
  • PLT41 WBC21 ????? ??? ????? ?????? ?????
    FIO230
  • 12\1\2008
  • ABGs PH7,35 Pco258 Po269 Hco332 BE5,1
  • Fio240 RR100\min

7
???? ??????
  • ??? ???? ???? ???? ???? _ ???? ???????? 1-2\6
  • Torch negative CRP 22,9 HB13,9 PLT51
  • ???? ????????? ?? ????? ??????? ?????? ??
    ???????????
  • ??? ?? ????
  • 1512008
  • HB11,6?? ??? ?? ???? PLT 92
  • IGA4,9(40-350) IGE1,67
    IGM3,1(50-300) IGG434(650-1600)
  • ???? ??? ???? ????? ????? ?????? ??? ?????? ????
    ??????? ????? ?? ?????? ??? ??? ????? ?? ????????
    ????????? ???????? ???? ?????? ???????
    Histocytosis langerhans cell histocytosis

8
  • ??????? 26,01 ???????? ???? 42,35 ????
    ????? ?
  • ????? ?? ????? ???? ?????? ???? ????? ??? ?????
    ????
  • ?? ????? ?????? 1??\?? ??? ?????? ????? ??? ???
    Flucytometry
  • 18\1\2008
  • Hb11,1 plt24?? ??? ?? ??????? .
  • 2112008
  • ????? ? ??? ? ?????????? ?????
  • WBC13,46 HB14,5 PLT18 NEUT33
    LYMP46,5 EOS14,3 MONO4,3 BASO1 .



9
  • FLUCYTOMETRY
  • T lymphsof lymphs(CD3CD45)91(55-84)
  • T lymphs(CD3)Abs cnt8272(690-2540)
  • T suppressorof lymphs(CD3CD8CD45)12(13-41)
  • T Helperof lymphs(CD3CD4CD45)78(31-60)
  • T Helper lymphs (CD3CD4)7163(410-1590)
  • B lymphsof lymphs(CD19CD45) 1(6-25)
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