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中华危重症医学杂志(电子版) ›› 2026, Vol. 19 ›› Issue (04) : 334 -338. doi: 10.3877/cma.j.issn.1674-6880.2026.04.006

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新生儿疑似噬血细胞性淋巴组织细胞增生症五例临床特征与诊治分析
张丽亚1, 刘瑜1, 丁宇1, 金夏敏1, 陈黎丽1,†(), 孙建新2   
  1. 1315012 浙江宁波,宁波大学附属妇女儿童医院新生儿中心
    2315012 浙江宁波,宁波大学附属妇女儿童医院肾脏内科
  • 收稿日期:2026-06-20 出版日期:2026-08-31
  • 通信作者: 陈黎丽
  • 基金资助:
    浙江省疾病预防控制科技计划项目(2026JKY235); 浙江省医药卫生科技计划项目(2023KY1114); 宁波市卫生健康科技计划项目(2023Y21); 2024年度宁波市市级临床重点专科建设项目(甬卫办医政〔2024〕93号)
  • Received:2026-06-20 Published:2026-08-31
引用本文:

张丽亚, 刘瑜, 丁宇, 金夏敏, 陈黎丽, 孙建新. 新生儿疑似噬血细胞性淋巴组织细胞增生症五例临床特征与诊治分析[J/OL]. 中华危重症医学杂志(电子版), 2026, 19(04): 334-338.

表1 5例疑似HLH新生儿主要临床特征
表2 3例疑似HLH患儿基因检测结果及临床分型
1
中国医师协会血液科医师分会,中华医学会儿科学分会血液学组,噬血细胞综合征中国专家联盟.中国噬血细胞综合征诊断与治疗指南(2022年版)[J].中华医学杂志,2022,102(20):1492-1499.
2
Kranz LA, Hahn WS, Thompson WS, et al. Neonatal hemophagocytic lymphohistiocytosis: a meta-analysis of 205 cases[J]. Pediatr Blood Cancer, 2024, 71 (4): e30894.
3
Kapat A. An insight into neonatal hemophagocytic lymphohistiocytosis from a clinician's perspective[J]. Int J Rheum Dis, 2024, 27 (10): e15393.
4
中华医学会儿科学分会新生儿学组,中华儿科杂志编辑委员会.新生儿败血症诊断与治疗专家共识(2024)[J].中华儿科杂志,2024,62(10):931-940.
5
Greenmyer JR, Anderson ML, Cameron CS, et al. Comparative analysis of familial versus infectious neonatal hemophagocytic lymphohistiocytosis[J]. J Pediatr Hematol Oncol, 2026, 48 (3): 114-124.
6
Ghosh I, Pal P, Uttam KG, et al. Neonatal hemophagocytic lymphohistiocytosis: rare is not so rare[J]. Int J Rheum Dis, 2024, 27 (1): 3.
7
欧阳颖,董红,唐淑敏,等.新生儿家族性噬血细胞综合征UNC13D基因位点突变1例并文献复习[J].岭南急诊医学杂志,2020,25(6):609-613.
8
Henter JI, Horne A, Aricó M, et al. HLH-2004: diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis[J]. Pediatr Blood Cancer, 2007, 48 (2): 124-131.
9
张景荣,梁筱灵,靳蓉,等. HLH-2004方案诊治儿童噬血细胞综合征临床分析[J].中国当代儿科杂志,2013,15(8):686-688.
10
魏家凯,赵建刚,王志,等.新生儿噬血细胞综合征七例并文献复习[J].中华新生儿科杂志(中英文),2020,35(4):286-291.
11
Elsharkawy A, Assem H, Salama M, et al. Clinical characteristics and outcomes of 101 children with hemophagocytic lymphohistiocytosis: a four-year single-center experience from Egypt[J]. Pediatr Hematol Oncol, 2021, 38 (3): 194-207.
12
汤永民. "噬血细胞性淋巴组织细胞增生症诊疗建议"解读[J].中华儿科杂志,2012,50(11):826-828.
13
王华,张巍.新生儿血脂及脂蛋白代谢特点的研究进展[J].中华围产医学杂志,2014,17(4):281-284.
14
Balakumar N, Sendi P, Totapally BR. Epidemiology and outcomes of neonatal hemophagocytic lymphohistiocytosis[J]. Front Pediatr, 2022, 10: 848004.
15
Yang Y, Luo Z, Yuan T. Familial hemophagocytic lymphohistiocytosis in a neonate: case report and literature review[J]. Medicine (Baltimore), 2021, 100 (47): e27786.
16
Hu H, Yu S, Zhang J, et al. Hemophagocytic lymphohistiocytosis in a neonate with enterovirus infection: case report and literature review[J]. IDCases, 2025, 40: e02177.
17
Elalfy MS, Ragab IA, AbdelAal NM, et al. Study of the diagnostic criteria for hemophagocytic lymphohistiocytosis in neonatal and pediatric patients with severe sepsis or septic shock[J]. Pediatr Hematol Oncol, 2021, 38 (5): 486-496.
18
Ishizuka K, Shigemori H, Ochiai S, et al. Spontaneously resolved suspected hemophagocytic lymphohistiocytosis or macrophage activating syndrome associated with neonatal lupus erythematosus: a case report[J]. Tokai J Exp Clin Med, 2024, 49 (2): 53-56.
19
Besci O, Baser D, Ogülür I, et al. Reference values for T and B lymphocyte subpopulations in Turkish children and adults[J]. Turk J Med Sci, 2021, 51 (4): 1814-1824.
20
Kranz LA, Hahn WS, Thompson WS, et al. Neonatal hemophagocytic lymphohistiocytosis: a meta-analysis of 205 cases[J]. Pediatr Blood Cancer, 2024, 71 (4): e30894.
21
Greenmyer JR, Thompson WS, Mavis S, et al. Neonatal familial hemophagocytic lymphohistiocytosis diagnosed with ultrarapid whole-genome sequencing[J]. Pediatr Blood Cancer, 2023, 70 (1): e29871.
22
噬血细胞综合征中国专家联盟,中华医学会儿科学分会血液学组.噬血细胞综合征诊治中国专家共识[J].中华医学杂志,2018,98(2):91-95.
23
钟小梅,任宏,张建,等.噬血细胞性淋巴组织细胞增生症与脓毒症临床特征比较[J].临床儿科杂志,2024,42(6):547-552.
24
唐明坤,孙海霞,吴思竹,等.基于机器学习的脓毒症早期预测研究进展[J/OL].中华危重症医学杂志(电子版),2023,16(5):428-433.
25
庄燕,戴林峰,张海东,等.脓毒症患者早期生存影响因素及Cox风险预测模型构建[J/OL].中华危重症医学杂志(电子版),2024,17(5):372-378.
26
陈潇,张磊,官慧,等.儿童原发性噬血细胞性淋巴组织细胞增生症基因诊断及表型分析[J].浙江医学,2023,45(6):639-641,644.
27
Yu SC, Cheng CL, Huang HH, et al. Bone marrow histology in hemophagocytic lymphohistiocytosis[J]. Arch Pathol Lab Med, 2023, 147 (3): 348-358.
28
Zhang J, Sun Y, Shi X, et al. Genotype characteristics and immunological indicator evaluation of 311 hemophagocytic lymphohistiocytosis cases in China[J]. Orphanet J Rare Dis, 2020, 15 (1): 112.
29
Jordan MB, Filipovich AH. Hematopoietic cell transplantation for hemophagocytic lymphohistiocytosis: a journey of a thousand miles begins with a single (big) step[J]. Bone Marrow Transplant, 2008, 42 (7): 433-437.
30
Wu L, Cao X, Wang J, et al. Etiological stratification and prognostic assessment of haemophagocytic lymphohistiocytosis by machine learning on onco-mNGS data and clinical data[J]. Front Immunol, 2024, 15: 1390298.
31
Kamaleswaran R, Satapathy SK, Mas VR, et al. Artificial intelligence may predict early sepsis after liver transplantation[J]. Front Physiol, 2021, 12: 692667.
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