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肝炎肝硬化合并免疫性血小板减少症临床特点分析(附8例报道)

张世斌 王征 米军 吴燕京 金瑞

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肝炎肝硬化合并免疫性血小板减少症临床特点分析(附8例报道)

详细信息
  • 中图分类号: R575.2

The analysis of the clinical characteristics of patients with liver cirrhosis and immune thrombocytopenia

  • 摘要: 目的总结分析肝炎肝硬化血小板明显下降患者的临床表现及其原因,藉此探讨和交流诊治经验。方法对8例肝炎肝硬化合并进行性血小板下降的患者,回顾分析其肝功能指标、凝血指标及免疫学指标以及各指标之间的相关性。结果 8例患者血小板进行性下降与其肝硬化严重程度不成比例,并能够除外严重感染、弥漫性血管内凝血、再生障碍性贫血、淋巴瘤、血栓性血小板减少性紫癜等血液系统疾病,抗血小板抗体阳性,诊断为免疫性血小板减少症,应用丙种球蛋白、激素治疗后血小板明显升高。结论肝炎肝硬化患者血小板短期内明显下降时,应考虑合并免疫性血小板减少症,并予以相应的治疗。

     

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  • 出版日期:  2011-08-20
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