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难治性输血后紫癜对脾切除术的明显反应。

Apparent response of refractory post-transfusion purpura to splenectomy.

作者信息

Cunningham C C, Lind S E

机构信息

Hematology-Oncology Unit, Massachusetts General Hospital, Boston 02114.

出版信息

Am J Hematol. 1989 Feb;30(2):112-3. doi: 10.1002/ajh.2830300211.

DOI:10.1002/ajh.2830300211
PMID:2913759
Abstract

Post transfusion purpura (PTP) is a rare disorder characterized by the abrupt onset of severe thrombocytopenia following transfusion. A patient with PTP and massive bleeding was refractory to corticosteroids, gamma globulin, and plasma exchange but developed an immediate and sustained rise in platelet count following splenectomy. Splenectomy may be a useful therapeutic modality in patients with refractory PTP.

摘要

输血后紫癜(PTP)是一种罕见的疾病,其特征为输血后突然发生严重血小板减少。一名患有PTP并伴有大量出血的患者对皮质类固醇、γ球蛋白和血浆置换治疗无效,但脾切除术后血小板计数立即且持续上升。脾切除术对于难治性PTP患者可能是一种有效的治疗方式。

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Apparent response of refractory post-transfusion purpura to splenectomy.难治性输血后紫癜对脾切除术的明显反应。
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[A case of the emergency embolization of the splenic artery to arrest a threatened hemorrhagic syndrome developing in posttransfusional thrombocytopenia].[1例通过脾动脉紧急栓塞术控制输血后血小板减少症中出现的严重出血综合征]
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引用本文的文献

1
Post-Transfusion Purpura: Current Perspectives.输血后紫癜:当前观点
J Blood Med. 2019 Dec 9;10:405-415. doi: 10.2147/JBM.S189176. eCollection 2019.