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游走脾：血小板减少症的罕见病例。

The wandering spleen: an unusual case of thrombocytopenia.

作者信息

Mirkes Curtis, Nguyen George, Cable Christian

机构信息

Department of Internal Medicine, Division of Hematology and Oncology, Texas A&M Health Science Center, College of Medicine, Scott & White Healthcare, Temple, TX, USA.

出版信息

J Blood Med. 2011;2:161-3. doi: 10.2147/JBM.S24168. Epub 2011 Dec 7.

DOI:10.2147/JBM.S24168
PMID:22287875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3262346/
Abstract

Thrombocytopenia is a common laboratory finding in current medical practices. The workup of thrombocytopenia can be challenging with numerous causes that can be included in the differential diagnosis. Thrombocytopenia can be due to bone marrow hypoproliferation, peripheral destruction, or sequestration. This paper presents a case of isolated thrombocytopenia in a young female and discusses the causes of thrombocytopenia.

摘要

血小板减少症是当前医疗实践中常见的实验室检查结果。血小板减少症的检查可能具有挑战性，因为鉴别诊断中可能包含多种病因。血小板减少症可能是由于骨髓增殖低下、外周破坏或脾内滞留所致。本文介绍了一名年轻女性孤立性血小板减少症的病例，并讨论了血小板减少症的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a8/3262346/3c72e32da91f/jbm-2-161f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a8/3262346/bd2ca39e1dca/jbm-2-161f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a8/3262346/3c72e32da91f/jbm-2-161f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a8/3262346/bd2ca39e1dca/jbm-2-161f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a8/3262346/3c72e32da91f/jbm-2-161f2.jpg

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The wandering spleen: an unusual case of thrombocytopenia.游走脾：血小板减少症的罕见病例。
J Blood Med. 2011;2:161-3. doi: 10.2147/JBM.S24168. Epub 2011 Dec 7.
2
Thrombocytopenia in association with a wandering spleen.血小板减少症合并游走脾。
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本文引用的文献

1
International consensus report on the investigation and management of primary immune thrombocytopenia.国际原发性免疫性血小板减少症诊治共识报告
Blood. 2010 Jan 14;115(2):168-86. doi: 10.1182/blood-2009-06-225565. Epub 2009 Oct 21.
2
Portal hypertension and hypersplenism in a patient with a Bochdalek hernia: a case report.患者患有 Bochdalek 疝，伴有门静脉高压和脾功能亢进：病例报告。
Ir J Med Sci. 2009 Mar;178(1):111-3. doi: 10.1007/s11845-008-0140-4. Epub 2008 Apr 9.
3
Congenital diaphragmatic hernia.先天性膈疝
内皮细胞、血小板和凝血因子是诊断出血性疾病的三个重要组成部分：具有临床相关性的简化视角。
Int J Clin Pract. 2022 Aug 27;2022:5369001. doi: 10.1155/2022/5369001. eCollection 2022.
4
Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature.Morgagni疝修补术后游走脾与器官轴型胃扭转：一例报告并文献复习
Case Rep Surg. 2016;2016:6450765. doi: 10.1155/2016/6450765. Epub 2016 Sep 14.
5
Laparoscopic transperitoneal left adrenalectomy and wandering spleen risk.腹腔镜经腹左肾上腺切除术与游走脾风险
JSLS. 2014 Jul-Sep;18(3). doi: 10.4293/JSLS.2014.00278.
6
Acute torsion of a wandering spleen in a post-partum female: A case report.产后女性游走脾急性扭转：一例报告
Int J Surg Case Rep. 2013;4(8):675-7. doi: 10.1016/j.ijscr.2013.05.002. Epub 2013 May 16.
7
Wandering spleen: a medical enigma, its natural history and rationalization.游走脾：医学之谜，其自然病史与合理化阐释。
World J Surg. 2013 Mar;37(3):545-50. doi: 10.1007/s00268-012-1880-x.
Am J Respir Crit Care Med. 2002 Oct 1;166(7):911-5. doi: 10.1164/rccm.200204-304CC.
4
Prevalence of incidental Bochdalek's hernia in a large adult population.成年人群中偶发性博赫dalek疝的患病率。
AJR Am J Roentgenol. 2001 Aug;177(2):363-6. doi: 10.2214/ajr.177.2.1770363.
5
Bochdalek's hernia in adults.成人博赫dalek疝
J Clin Gastroenterol. 2001 Feb;32(2):155-7. doi: 10.1097/00004836-200102000-00013.
6
Thrombocytopenia in association with a wandering spleen.血小板减少症合并游走脾。
Am J Hematol. 1996 Dec;53(4):259-63. doi: 10.1002/(SICI)1096-8652(199612)53:4<259::AID-AJH11>3.0.CO;2-7.