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血栓性血小板减少性紫癜一例诊治反思 被引量：5

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摘要 目的探讨血栓性血小板减少性紫癜的临床特点,以减少误诊误治。方法回顾分析1例血栓性血小板减少性紫癜的临床诊治经过。结果患者因皮肤黏膜散在出血点伴牙龈出血入院。在当地医院查血小板极低,骨髓穿刺细胞学检查示:粒系以分叶核为主,红系及巨核细胞减少。紧急转我院。我院完善相关检查后诊断为血小板减少性紫癜,予输注血小板并间断输注红细胞,但患者渐出现尿血及消化道出血,给予止血、抗感染等治疗,效果不佳。随后出现发热、呼吸困难,精神症状加重,复查血清间接胆红素升高明显,修正诊断为TTP。拟行血浆置换治疗,但患者最终因脑出血、脑疝死亡。结论 TTP与血小板减少性紫癜临床表现相似,极易误诊,且两病治疗方法不同,应引起重视。
作者 郭智 何学鹏 陈惠仁
机构地区 北京军区总医院血液科
出处 《临床误诊误治》 2011年第8期74-75,共2页 Clinical Misdiagnosis & Mistherapy
关键词 紫癜 血栓性血小板减少性 脑出血 脑疝
分类号 R554.6 [医药卫生—血液循环系统疾病]
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参考文献5

二级参考文献15

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共引文献11

同被引文献59

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引证文献5

二级引证文献9

临床误诊误治
2011年 第8期

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