Rohmer Barbara, Valla Frédéric V, Baleydier Frédéric, Launay Valérie, Dommange-Romero Florence, Pondarré Corinne
Hospices Civils de Lyon, Lyon, France.
Hospices Civils de Lyon, Lyon, France; Department of Pediatric Emergency and Critical Care, Hôpital-Femme-Mère-Enfant.
J Pediatr. 2015 Feb;166(2):480-2. doi: 10.1016/j.jpeds.2014.10.001. Epub 2014 Nov 18.
Immune thrombocytopenic purpura is a bleeding disorder for which management remains mainly guided by platelet counts. Pediatric hematologists and emergency physicians collaborated to set up a limited intervention strategy, focusing on clinical bleeding severity irrespective of platelet counts, starting in the emergency room. We report how this strategy was safely applied for 106 consecutive children admitted for newly diagnosed immune thrombocytopenic purpura.
免疫性血小板减少性紫癜是一种出血性疾病，其治疗主要仍以血小板计数为指导。儿科血液科医生和急诊科医生合作制定了一种有限干预策略，该策略从急诊室开始实施，重点关注临床出血严重程度，而不考虑血小板计数。我们报告了这一策略如何安全地应用于106例连续收治的新诊断免疫性血小板减少性紫癜患儿。
