Wills Tamara B, Wardrop K Jane
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, P.O. Box 646610, Pullman, Washington 99164-6610, USA.
J Am Anim Hosp Assoc. 2008 Mar-Apr;44(2):95-7. doi: 10.5326/0440095.
Pseudothrombocytopenia (PTCP) secondary to the effects of ethylenediaminetetraacetic acid (EDTA) has been noted in horses and pigs and should be considered in dogs with moderate thrombocytopenia and no clinical bleeding tendency. This type of pseudothrombocytopenia is not a pathological process by itself, but it can be clinically significant if diagnostics and medical treatments are initiated based on the reported thrombocytopenia. Platelet clumping occurs with EDTA-dependent PTCP, resulting in inaccurate hematology analyzer platelet concentrations. A nontraumatic venipuncture may be sufficient to obtain an accurate platelet count. However, rare cases in the dog may require blood drawn into a different anticoagulant, such as sodium citrate, to help discriminate a true thrombocytopenia from PTCP.
因乙二胺四乙酸(EDTA)作用继发的假性血小板减少症(PTCP)已在马和猪中被发现,对于患有中度血小板减少症且无临床出血倾向的犬也应予以考虑。这种类型的假性血小板减少症本身并非病理过程,但如果基于报告的血小板减少症进行诊断和治疗,可能具有临床意义。EDTA依赖性PTCP会导致血小板聚集,从而使血液学分析仪得出的血小板浓度不准确。非创伤性静脉穿刺可能足以获得准确的血小板计数。然而,犬的罕见病例可能需要将血液采集到不同的抗凝剂(如柠檬酸钠)中,以帮助区分真正的血小板减少症和PTCP。