Corredoira J C, González M, Casariego E, Pérez R, García J F, López M J, Castiñeira M C
An Med Interna. 1989 Oct;6(10):510-3.
11 patients diagnosed as suffering from essential thrombocytosis at "Hospital Xeral de Lugo" between 1978 and 1986, are presented. 7 patients were female and 4 were male with a median age of 63 years. 6 patients had thrombotic manifestation, 6 had hemorrhagic symptoms, 2 had both manifestations and only one had no thrombo-hemorrhagic clinical symptoms. Spleen enlargement was found in 6 cases and liver enlargement in 5. The median count of platelets were 1.585.000 ml; there was no relationship between the amount and their function with the major or minor complications incidence. There was a good response to treatment with hydroxyurea and/or busulfan associated to platelets aggregation inhibitor in some cases. 4 patients died, all of them due to thrombotic complications.
本文报告了1978年至1986年间在“卢戈塞拉尔医院”被诊断为原发性血小板增多症的11例患者。7例为女性,4例为男性,中位年龄63岁。6例有血栓形成表现,6例有出血症状,2例兼具两种表现,仅1例无血栓-出血临床症状。6例发现脾脏肿大,5例发现肝脏肿大。血小板中位计数为158.5万/ml;血小板数量及其功能与主要或次要并发症发生率之间无关联。在某些情况下,羟基脲和/或白消安联合血小板聚集抑制剂治疗效果良好。4例患者死亡,均死于血栓并发症。