精神科药物致白细胞减少的现状和治疗进展
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北京市高层次公共卫生技术人才培养计划( 学科带头人-01-30)


Current status and treatment progress of psychiatric drug-induced leukopenia
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    摘要:

    血液中的白细胞,尤其是中性粒细胞对于防御重要病原体(例如细菌和真菌)的感染至关 重要。当其明显降低时,会出现致死性的严重并发症。临床中,非化疗药物导致的白细胞/ 中性粒细胞 减少早期通常无症状,难以及时发现,进而导致严重的并发症。几乎所有主要类别的精神药物都与白 细胞/ 中性粒细胞减少症有关,可能发生于治疗过程中的任何时间,风险难以预测。因此,增强对精神 科药物引起白细胞/ 中性粒细胞减少症的认识对于精神科临床医生尤为重要。现主要就常用精神科药 物导致白细胞/ 中性粒细胞减少症的发生率、临床特点、发生机制以及常规治疗手段进行详述。

    Abstract:

    White blood cells, especially neutrophils, are crucial for defending against infections caused by important pathogens such as bacteria and fungi. When it is significantly reduced, life-threatening complications may occur. In clinical practice, leukopenia/neutropenia caused by non-chemotherapy drugs is often asymptomatic in its early stages, making it difficult to detect promptly and potentially leading to serious complications. Nearly all major categories of psychiatric drugs are associated with leukopenia/neutropenia, which may occur at any time during treatment, and the risk is difficult to predict. Therefore, enhancing awareness of psychiatric drug-induced leukopenia/neutropenia is particularly important for psychiatrists. This article provides a review of the incidence, clinical characteristics, mechanisms, and conventional treatment methods for leukopenia/neutropenia induced by commonly psychiatric drugs.

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翟倩,闫芳. 精神科药物致白细胞减少的现状和治疗进展[J]. 神经疾病与精神卫生,2026,26(3):221-228. DOI:10.3969/j. issn.1009-6574.2026.03.010.

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  • 在线发布日期: 2026-03-20