皮肤出血点、发热、神志改变1例
摘要
1病历摘要 患者,女,40岁,主因“发现全身皮肤出血点3天”于本院血液科门诊就诊,查血常规:白细胞(WBC)4.32×10^9/L,N0.558,血红蛋白(HGB)102g/L,血小板(PLT)8×10^9/L,遂转至本院急诊治疗。
出处
《中国医刊》
CAS
2014年第11期18-20,共3页
Chinese Journal of Medicine
参考文献10
-
1Moake J. Thrombotic microangiopathies : multimers, metalloprotease, and beyond [ J ]. Clin & Trans sci, 2009,2 (5) :366-373.
-
2郑昌成,吴竞生.血栓性血小板减少性紫癜的诊治现状与进展[J].中华血液学杂志,2011,32(9):645-648. 被引量:27
-
3刘芳,BF Hendrik,董宁征,白霞,V Karen,D Hans,阮长耿.血栓性血小板减少性紫癜患者vWF裂解蛋白酶抗原和活性的检测及意义[J].中华血液学杂志,2006,27(3):154-157. 被引量:10
-
4Nguyen TC, Han YY. Plasma exchange therapy for thrombotic mi- croangiopathies [ J]. Organogenesis,2011,7( 1 ) :28-31.
-
5Kim JW, Kim I, Oh KH, et al. Therapeutic plasma exchange in patients with thrombotic thrombocytopenie purpura-hemolytic uremic syndrome:the 10-year experience of a single center [ J]. Hematology, 2011,16(2) :73-79.
-
6崔静,朱铁楠,赵永强,张奉春.系统性红斑狼疮合并血栓性血小板减少性紫癜14例临床分析[J].中华内科杂志,2013,52(5):383-386. 被引量:10
-
7蔡奕峰,滕鎔,施文喻,秦燕,尤学芬,徐瑞容.血浆置换治疗血栓性血小板减少性紫癜13例[J].中国危重病急救医学,2009,21(8):509-509. 被引量:4
-
8Marie Scully, Beverley J. Hunt, Sylvia Benjamin ect ; Guidelines on the diagnosis and management of thrombotic thrombocytopenic purpu- ra and other thrombotic microangiopathies [ J ]. British Journal of Haematology ,2012,158 ( 3 ) :323-335.
-
9George JN. Corticosteroids and rituximab as adjunctive treatments for thrombotic thrombocytopenic purpura [ J]. Am J Hematol, 2012,87 ( Suppl 1 ) :S88-S91.
-
10Deng MY, Zhang GS, Zhang Y, et al. Analysis of clinical and labo- ratory characteristics in 42 patients with thrombotic thrombocytopenic purpura from a single center in China [ J ]. Trans & Apher Sci, 2013,49 (3) :447-452.
二级参考文献35
-
1刘芳,金洁,董宁征,王云贵,阮长耿.一例两种新的ADAMTS13基因突变导致的遗传性血栓性血小板减少性紫癜[J].中华血液学杂志,2005,26(9):521-524. 被引量:11
-
2卢勇,秦伟毅,苏磊,童华生,钱洪津,吴恒义.血浆置换在急性肝功能障碍中的临床应用研究——单一脏器功能障碍与MODS的比较[J].中国危重病急救医学,2007,19(7):431-432. 被引量:3
-
3Iwai H, Nagaki M, Naito T, et al. Removal of endotoxin and cytokines by plasma exchange in patients with acute hepatic failure. Crit Care Med, 1998,26 (5) :873-876.
-
4Rock G. The management of thrombotic thrombocytopenic purpura in 2005. Semi Thromb Hemost, 2005, 31 ( 6 ) : 709-716.
-
5Yomtovian R, Niklinski W, Silver B, et al. Rituximab for chronic recurring thrombotic thrombocytopenic purpura: a case report and review of the literature. Br J Haematol, 2004, 124 (fi): 787-795.
-
6Furlan M,Robles R,Lamie B.Partial purification and characterization of a protease from human plasma cleaving von Willebrand factor to fragments produced by in vivo proteolysis.Blood,1996,87:4223-4234.
-
7Tsai HM.Physiologic cleavage of von Willebrand factor by a plasma protease is dependent on its conformation and requires calcium ion.Blood,1996,87:4235-4244.
-
8Zheng X,Chung D,Takayama TK,et al.Structure of von Willebrand factor-cleaving protease (ADAMTS13),a metalloprotease involved in thrombotic thrombocytopenic purpura.J Biol Chem,2001,276:41059-41063.
-
9Fujikawa K,Suzuki H,McMullen B,et al.Purification of human von Willebrand factor-cleaving protease and its identification as a new member of the metalloproteinase family.Blood ,2001,98:1662-1666.
-
10Rick ME,Molls S,Taylor MA.Clinical use of a rapid collagen binding assay for yon Willebrand factor cleaving protease in patients with thrombotic thrombocytopenic purpura.Thromb Haemost,2002,88:598-604.
共引文献47
-
1张海鹏,王志湖,王荣明,唐富龙.疑似肾性血小板减少症(较常见新疾病)多例——“血栓性血小板减少性紫癜”等文献重新分析之结果[J].世界最新医学信息文摘,2019,0(80):165-167. 被引量:4
-
2乌仁娜.血浆置换联合激素治疗继发性血栓性血小板减少性紫癜[J].内蒙古医学杂志,2007,39(11):1314-1316. 被引量:2
-
3丁佐凤.血浆置换治疗血栓性血小板减少性紫癜14例护理体会[J].齐鲁护理杂志,2007,13(23):17-17. 被引量:1
-
4江文英.血栓性血小板减少性紫癜患者的护理12例[J].中国实用护理杂志,2006,22(8):25-25.
-
5董宁征,刘芳,季顺东,阮长耿.急性心肌梗死和脑梗死患者血浆中ADAMTS13的测定及意义[J].中华血液学杂志,2008,29(3):161-163. 被引量:6
-
6李芸,冯伟.血栓性血小板减少性紫癜护理体会[J].基层医学论坛,2008,12(18):572-573. 被引量:1
-
7吴海涛,孙晓川.血管性血友病因子与蛛网膜下腔出血后迟发性脑缺血[J].实用医院临床杂志,2009,6(4):21-23. 被引量:1
-
8占钻,黄亮,曹春水.以意识障碍为主要表现的血栓性血小板减少性紫癜[J].临床急诊杂志,2011,12(2):140-142. 被引量:1
-
9李先梅,赵艳,蔡烈凤.血栓性血小板减少性紫癜2例的观察与护理[J].中国误诊学杂志,2011,11(27):6769-6769.
-
10王琳,白海,李晓凤.职业性急性砷化氢中毒发生血小板快速下降的临床分析[J].中国危重病急救医学,2012,24(6):372-373. 被引量:4
-
1朱文,宋晓敏,李睿,张玄娥,顾蕾.老年糖尿病患者低血糖昏迷的临床分析[J].中国医药指南,2008,6(21):79-80.
-
2林小平.132例慢性阻塞性肺病急性期神志改变和病死率与pH的关系[J].中原医刊,2002,29(1):12-13. 被引量:10
-
3李蕾.重症甲型H1N1流感肺部的影像学表现[J].中国临床医学影像杂志,2011,22(2):118-120. 被引量:6
-
4吴满辉,周莉莉,林小鸿.上消化道大出血并急性心肌梗死34例临床分析[J].岭南急诊医学杂志,2010,15(3):167-168. 被引量:1
-
5陆志檬.流脑的早期诊断及治疗[J].传染病网络动态,2007(10):36-37.
-
6岳庆祝.慢性阻塞性肺疾病急性加重期神志改变回顾性分析[J].河北医药,2008,30(6):820-820. 被引量:3
-
7兰春英,刘雪丽,张惠荣,张志平,李永亮.血清NT-proBNP水平在急性心肌梗死合并心源性休克诊断及治疗中的价值[J].临床合理用药杂志,2014,7(28):131-132. 被引量:2
-
8唐可京,谢灿茂,黄顺伟,黄建强.急性呼吸窘迫综合征68例临床分析[J].新医学,2001,32(11):662-663. 被引量:3
-
9贾卫华.急性呼吸窘迫综合征50例临床分析[J].工企医刊,2005,18(4):11-12.
-
10韩纪昌,张祎捷,张明,李四红,李红兵.BiPAP治疗老年COPD合并肺性脑病84例临床分析[J].中国现代医药杂志,2009,11(2):75-76. 被引量:1